Individual provider Active NPI

Daniel Yousefzadeh, MD

  • Family Medicine Physician
  • Van Nuys, CA
National Provider Identifier
1245979376
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A197611 Issued in CA
Practice address
6640 Van Nuys Blvd Ste 101
Van Nuys, CA 91405-4679
Phone
(818) 884-5480
NPI assigned
May 27, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A197611 CA Primary

Addresses

Primary practice location

6640 Van Nuys Blvd Ste 101
Van Nuys, CA 91405-4679

Mailing address

PO Box 10984
Beverly Hills, CA 90213-3984

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A197611CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Surgical Institute CurrentSince Nov 18, 2025 Accepting new patients
California Back and Pain Specialists CurrentSince Nov 18, 2025 Accepting new patients

Locations

6640 Van Nuys Blvd
Ste 101
Van Nuys, CA 91405
Phone (818) 884-5480

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1245979376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10984",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902133984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 VAN NUYS BLVD STE 101",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914054679",
            "telephone_number": "818-884-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSEFZADEH",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-27",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A197611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.