Organization Active NPI

Ramin Ganjianpour, M.D., Inc.

  • Specialist
  • Mission Hills, CA
National Provider Identifier
1184824146
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A75503 Issued in CA
Legal business name
RAMIN GANJIANPOUR, M.D., INC.
Practice address
11550 Indian Hills Rd
Suite 241
Mission Hills, CA 91345-1200
Phone
(818) 361-0136
Fax
(818) 365-1259
NPI assigned
Jul 18, 2007
Last updated
Apr 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Jennifer Diluigi
Title
Office Manager
Phone
(818) 361-0136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A75503 CA Primary

Addresses

Primary practice location

11550 Indian Hills Rd
Suite 241
Mission Hills, CA 91345-1200

Mailing address

11550 Indian Hills Rd
Suite 241
Mission Hills, CA 91345-1200
Phone (818) 361-0136

Other identifiers 2

IdentifierTypeStateIssuer
1447274782OtherCANPI
WA75503BOtherCAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040330001307 CA Part B Supplier - Clinic/Group Practice 7315939519 Receives reassigned benefits from 7 practitioners
Practice locations: Mission Hills, CA; Tarzana, CA
O20100930086008 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 7315939519 Practice locations: Mission Hills, CA

National Provider Directory

National Provider Directory

Locations

17779 Ventura Blvd
Ste 101
Encino, CA 91316
Phone (818) 361-0136

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1184824146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD",
            "address_2": "SUITE 241",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451200",
            "telephone_number": "818-361-0136",
            "fax_number": "818-365-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD",
            "address_2": "SUITE 241",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451200",
            "telephone_number": "818-361-0136",
            "fax_number": "818-365-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMIN GANJIANPOUR, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "DILUIGI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-361-0136"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A75503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1447274782",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "WA75503B",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.