Elvin Babakhani

Individual provider Active NPI Occupational Therapist · Tujunga, CA

NPI 1235528332 · NPPES record last updated Jan 13, 2015

Key facts

NPI
1235528332
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
11627 (CA)
Practice address
10510 Las Lunitas Ave
Tujunga, CA 91042-1547
Phone
(818) 317-7331
NPI assigned
Jan 13, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11627CAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 11627 CA Yes

Addresses

Primary practice location

10510 Las Lunitas Ave
Tujunga, CA 91042-1547

Mailing address

10510 Las Lunitas Ave
Tujunga, CA 91042-1547
Phone (818) 317-7331

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 13, 2015.

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1235528332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10510 LAS LUNITAS AVE",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910421547",
            "telephone_number": "818-317-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10510 LAS LUNITAS AVE",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910421547",
            "telephone_number": "818-317-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABAKHANI",
        "first_name": "ELVIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "11627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tujunga, CA

All providers in Tujunga, CA · Occupational Therapist in California

Sources for this page

Verify at the official NPI Registry.