Individual provider Active NPI

Tayebeh Erfani, LM

  • Midwife
  • Panorama City, CA
National Provider Identifier
1235287707
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
LM124 Issued in CA
Practice address
8215 Van Nuys Blvd Ste 104
Panorama City, CA 91402-4855
Phone
(818) 994-4010
Fax
(818) 994-4033
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X LM124 CA Primary

Addresses

Primary practice location

8215 Van Nuys Blvd Ste 104
Panorama City, CA 91402-4855

Mailing address

12722 Goethe PL
Granada Hills, CA 91344-1419
Phone (818) 366-1400

Other identifiers 1

IdentifierTypeStateIssuer
1235287707MedicaidCA

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LM124CAMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1235287707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12722 GOETHE PL",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913441419",
            "telephone_number": "818-366-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8215 VAN NUYS BLVD STE 104",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024855",
            "telephone_number": "818-994-4010",
            "fax_number": "818-994-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERFANI",
        "first_name": "TAYEBEH",
        "name_prefix": "Mrs.",
        "credential": "LM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "LM124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235287707",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.