Organization Active NPI

Sassan Davoudi, MD PC

  • Internal Medicine Physician
  • Tarzana, CA
National Provider Identifier
1194091496
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SASSAN DAVOUDI, MD PC
Practice address
5071 Garden Grove Ave
Tarzana, CA 91356-4317
Phone
(818) 345-6655
NPI assigned
Mar 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Dr. Sassan Davoudi, MD
Title
President
Phone
(818) 345-6655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5071 Garden Grove Ave
Tarzana, CA 91356-4317

Mailing address

5071 Garden Grove Ave
Tarzana, CA 91356-4317
Phone (818) 345-6655

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1194091496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5071 GARDEN GROVE AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564317",
            "telephone_number": "818-345-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5071 GARDEN GROVE AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564317",
            "telephone_number": "818-345-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SASSAN DAVOUDI, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "DAVOUDI",
        "authorized_official_first_name": "SASSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-345-6655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.