Edwin Amirianfar DO PSC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

EDWIN AMIRIANFAR DO PSC

Practice address

200 W Liberty St Ste 1809
Louisville, KY 40202-2473

Phone

(310) 666-2320

NPI assigned

Jul 20, 2023

Organization subpart

No

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

Authorized official

Name

Edwin AmirianfarNPI 1417416272

Title

DO

Phone

(310) 666-2320

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY, CA2 enrollments

Enrollment records 2

Practitioners 1

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

• Edwin Amirianfar, DO

  • Physical Medicine & Rehabilitation Physician
  • Los Angeles, CA
  • NPI 1417416272
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1255011672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W LIBERTY ST STE 1809",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022473",
            "telephone_number": "310-666-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W LIBERTY ST STE 1809",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022473",
            "telephone_number": "310-666-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN AMIRIANFAR DO PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "AMIRIANFAR",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "310-666-2320"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R Douglas Edwards Jr., DMD
• Roanna Dawn Edwards, RN
• Tayler Edwards
• Traci M Edwards, M.D.
• Victoria Edwards, LPCC
• Edwin Carmouche MD PLLC
• Tracy Dwight Eells, PH.D.
• Effie'S Place Homecare Services
• Kelly Effinger, APRN
• Sabrina Renee Effinger, MS, OTR/L

• Physical Medicine & Rehabilitation Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Medicine & Rehabilitation Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.