Dr Jason Nikzad Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DR JASON NIKZAD INC

Practice address

8405 Pershing Dr Ste 206
Playa del Rey, CA 90293-7860

Phone

(310) 525-6064

NPI assigned

Sep 8, 2023

Organization subpart

No

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

Authorized official

Name

Jason Nikzad, DONPI 1508121674

Title

Owner / President / Director

Phone

(310) 525-6064

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Nikzad, D.O.

  • Family Medicine Physician
  • Playa del Rey, CA
  • NPI 1508121674
  NPD Authorized official

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1225815764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8405 PERSHING DR STE 206",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937860",
            "telephone_number": "310-525-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8405 PERSHING DR STE 206",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937860",
            "telephone_number": "310-525-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JASON NIKZAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "NIKZAD",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER / PRESIDENT / DIRECTOR",
        "authorized_official_telephone_number": "310-525-6064",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Playa del Rey, CA
• Providers in Playa del Rey, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.