Active NPI
Homayoun Nassiri, M.D.
- Emergency Medicine Physician
- Van Nuys, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A33224
- Practice address
- 15107 Vanowen St
Van Nuys, CA 91405-4542 - Phone
- (818) 902-2990
- Fax
- (818) 904-3793
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A33224 | CA | Primary |
Addresses
Primary practice location
15107 Vanowen St
Van Nuys, CA 91405-4542
Mailing address
PO Box 662154
Arcadia, CA 91066-2154
Phone (626) 447-0296
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A332240 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4312 Woodman Ave
Suite 102
Sherman Oaks, CA 91423-5523
Phone (818) 646-2562
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A33224 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mend Health Inc | Current | Accepting new patients | |
| Mend Medical Inc | Past | Accepting new patients | |
| Valley Presbyterian Emergency Medical Associates | Emergency Medicine | Past | Accepting new patients |
Locations
1701 W Verdugo Ave
Burbank, CA 91506
Phone (310) 488-2830
13636 Ventura Blvd
Sherman Oaks, CA 91423
Phone (818) 763-9997
4312 Woodman Ave
Ste 102
Sherman Oaks, CA 91423
Phone (818) 205-9366
4849 Van Nuys Blvd
Ste 100
Sherman Oaks, CA 91403
Phone (818) 646-4928
Interoperability endpoints
- https://api.platform.athenahealth.com/25159/brand/1/csg/1/fhir/r4
- homayoun.nassiri.1@25159.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Sherman Oaks, CA
- NPI 1467849745
-
- Internal Medicine Physician
- Sherman Oaks, CA
- NPI 1356792394
-
- Emergency Medicine Physician
- Van Nuys, CA
- NPI 1033133103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213315200000",
"number": "1285747584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 662154",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910662154",
"telephone_number": "626-447-0296",
"fax_number": "626-447-6057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15107 VANOWEN ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914054542",
"telephone_number": "818-902-2990",
"fax_number": "818-904-3793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASSIRI",
"first_name": "HOMAYOUN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2008-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A33224",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A332240",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
- Scott K Narimatsu, M.D.
- Nars Transportation LLC
- Elia Narvaez
- Dae'Brianna Lavern Nash
- Mohammad Nasseri
- Nathanael Sabbah MD Inc
- Nation Analytic Behavior Care Applied Behavior Analysis, P.C.
- National Council on Alcoholism & Drug Dependence of the San Fernando V
- National Council on Alcoholism & Drug Dependence of the San Fernando V
- National Councilon Alcoholism and Drug Dependence
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.