Active NPI
Razan Waliagha
- Student in an Organized Health Care Education/Training Program
- North Hollywood, CA
National Provider Identifier
1275145765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 46633
- Practice address
- 5225 Blakeslee Ave Apt 448
North Hollywood, CA 91601-3248 - Phone
- (813) 525-4239
- NPI assigned
- Aug 18, 2020
- Last updated
- Aug 18, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 46633 | CA | Primary |
Addresses
Primary practice location
5225 Blakeslee Ave Apt 448
North Hollywood, CA 91601-3248
Mailing address
5225 Blakeslee Ave Apt 448
North Hollywood, CA 91601-3248
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
| License | State | Type | Specialty |
|---|---|---|---|
| 46633 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597708800000",
"number": "1275145765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5225 BLAKESLEE AVE APT 448",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916013248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5225 BLAKESLEE AVE APT 448",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916013248",
"telephone_number": "813-525-4239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALIAGHA",
"first_name": "RAZAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-18",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "46633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.