Individual provider Active NPI

Mahsa Safvati

  • Adolescent Medicine (Internal Medicine) Physician
  • Los Angeles, CA
National Provider Identifier
1174434419
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
207RA0000X Issued in CA
Practice address
11600 Wilshire Blvd Ste 12
Los Angeles, CA 90025-1588
Phone
(310) 717-9081
NPI assigned
Sep 15, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 207RA0000X CA Primary

Addresses

Primary practice location

11600 Wilshire Blvd Ste 12
Los Angeles, CA 90025-1588

Mailing address

11600 Wilshire Blvd Ste 12
Los Angeles, CA 90025-1588
Phone (310) 717-9081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1174434419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 WILSHIRE BLVD STE 12",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251588",
            "telephone_number": "310-717-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 WILSHIRE BLVD STE 12",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251588",
            "telephone_number": "310-717-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFVATI",
        "first_name": "MAHSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "CA",
            "license": "207RA0000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.