Individual provider Active NPI

Arshia Mirzadeh, PA

  • Physician Assistant
  • Panorama City, CA
National Provider Identifier
1326699398
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
8727 Van Nuys Blvd Ste 201
Panorama City, CA 91402-2483
Phone
(818) 899-5555
NPI assigned
Sep 21, 2019
Last updated
Feb 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

8727 Van Nuys Blvd Ste 201
Panorama City, CA 91402-2483

Mailing address

8727 Van Nuys Blvd Ste 201
Panorama City, CA 91402-2483

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201020001069 CA Practitioner - Physician Assistant 6901226539 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
57458CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family Health and Education Inc CurrentSince Aug 26, 2020 Accepting new patients
Center for Family Health and Education Inc CurrentSince Aug 26, 2020 Accepting new patients
Center for Family Health and Education Inc Past Accepting new patients

Locations

500 W Willow St
#101
Long Beach, CA 90806
Phone (562) 427-1700

8727 Van Nuys Blvd
Ste 201
Panorama City, CA 91402
Phone (818) 479-7182

8727 Van Nuys Blvd
Ste 207
Panorama City, CA 91402

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1569024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1326699398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8727 VAN NUYS BLVD STE 201",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914022483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8727 VAN NUYS BLVD STE 201",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914022483",
            "telephone_number": "818-899-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZADEH",
        "first_name": "ARSHIA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-21",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

Verify at the official NPI Registry.