Active NPI
Legacy Health Inc
- Sports Medicine (Internal Medicine) Physician
- Northridge, CA
National Provider Identifier
1144065236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Internal Medicine) Physician
- Legal business name
- LEGACY HEALTH INC
- Practice address
- 18350 Roscoe Blvd Ste 218
Northridge, CA 91325-4153 - Phone
- (818) 620-2485
- Fax
- (818) 993-8158
- NPI assigned
- Jun 28, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Raahil Kajani, MD
- Title
- President
- Phone
- (818) 620-2485
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | Primary |
Addresses
Primary practice location
18350 Roscoe Blvd Ste 218
Northridge, CA 91325-4153
Mailing address
18350 Roscoe Blvd Ste 218
Northridge, CA 91325-4153
Phone (818) 620-2485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780245985 | Other | CA | NPI |
National Provider Directory
National Provider DirectoryLocations
18350 Roscoe Blvd
Ste 218
Northridge, CA 91325
Phone (818) 620-2485
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Medicine (Internal Medicine) Physician
- Northridge, CA
- NPI 1780245985
-
- Geriatric Medicine (Internal Medicine) Physician
- Northridge, CA
- NPI 1851380992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719532800000",
"number": "1144065236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18350 ROSCOE BLVD STE 218",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913254153",
"telephone_number": "818-620-2485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18350 ROSCOE BLVD STE 218",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913254153",
"telephone_number": "818-620-2485",
"fax_number": "818-993-8158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-28",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A",
"authorized_official_last_name": "KAJANI",
"authorized_official_first_name": "RAAHIL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-620-2485",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RS0010X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1780245985",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.