Active NPI
Mahsa Safvati
- Adolescent Medicine (Internal Medicine) Physician
- Los Angeles, CA
National Provider Identifier
1174434419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician
- License
- 207RA0000X
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.