Organization Active NPI

Healthy Hearts Medical Group Inc

  • Family Medicine Physician
  • Reseda, CA
National Provider Identifier
1295906402
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A66698 Issued in CA
Legal business name
HEALTHY HEARTS MEDICAL GROUP INC
Practice address
18308 Sherman Way
6
Reseda, CA 91335-4432
Phone
(818) 881-8333
Fax
(818) 899-5969
NPI assigned
Mar 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Daryoush Y Kashani, M.D.NPI 1386847531
Title
Medical Director
Phone
(818) 899-5555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A66698 CA Primary

Addresses

Primary practice location

18308 Sherman Way
6
Reseda, CA 91335-4432

Mailing address

18653 Ventura Blvd
289
Tarzana, CA 91356-4103
Phone (818) 899-5555

Other identifiers 1

IdentifierTypeStateIssuer
00A666981MedicaidCA

Other names 1

  • DARYOUSH KASHANI INC Doing business as

National Provider Directory

National Provider Directory

Locations

18308 Sherman Way
Ste 6
Reseda, CA 91335
Phone (818) 881-8333

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1295906402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18653 VENTURA BLVD",
            "address_2": "289",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564103",
            "telephone_number": "818-899-5555",
            "fax_number": "818-899-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18308 SHERMAN WAY",
            "address_2": "6",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354432",
            "telephone_number": "818-881-8333",
            "fax_number": "818-899-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY HEARTS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "KASHANI",
        "authorized_official_first_name": "DARYOUSH",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-899-5555",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A66698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A666981",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DARYOUSH KASHANI INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.