Adel Mostafavi MD, Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A92472 Issued in CA

Legal business name

ADEL MOSTAFAVI MD, INC.

Practice address

13701 Riverside Dr
Ste 606
Sherman Oaks, CA 91423-2430

Phone

(310) 871-0670

Fax

(310) 469-7845

NPI assigned

May 23, 2011

Last updated

Feb 27, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Adel Mostafavi, MDNPI 1962526756

Title

Provider/Ceo

Phone

(310) 371-0670

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adel Mostafavi, MD

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1962526756
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1134412240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2042 LINDA FLORA DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771407",
            "telephone_number": "310-871-0670",
            "fax_number": "310-469-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13701 RIVERSIDE DR",
            "address_2": "STE 606",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232430",
            "telephone_number": "310-871-0670",
            "fax_number": "310-469-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADEL MOSTAFAVI MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-23",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "MOSTAFAVI",
        "authorized_official_first_name": "ADEL",
        "authorized_official_title_or_position": "PROVIDER/CEO",
        "authorized_official_telephone_number": "310-371-0670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A92472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.