Michelle Sarah Nemanpour

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA61440 Issued in CA

Practice address

16661 Ventura Blvd Ste 310
Encino, CA 91436-1957

Phone

(818) 986-7399

NPI assigned

Nov 23, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1245834167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 S ALFRED ST # 1826",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 310",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361957",
            "telephone_number": "818-986-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMANPOUR",
        "first_name": "MICHELLE",
        "middle_name": "SARAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA61440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Neigher, SLPA
• Mohammad Reza Kalantari Nejad, MD
• Ravash Nejathaim, PHARMD
• Judy Ellen Nelson, M.S., CCC-SLP
• Bahar Neman
• Elham Nemat, D.C.
• Polina Neminov, PHARM.D.
• Nest Therapy: a Clinical Social Worker Corporation
• Neuro Psychology Assessment Center Inc (Neuro Assessment Center)
• Yelena Guadalupe Nevarez-Arias, BCBA

• Medical Physician Assistant in Encino, CA
• Providers in Encino, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; 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.