Organization Active NPI

Edwin Mirzabeigi MD P.C.

  • General Practice Physician
  • Panorama City, CA
National Provider Identifier
1346115144
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
EDWIN MIRZABEIGI MD P.C.
Practice address
8215 Van Nuys Blvd Ste 106
Panorama City, CA 91402-4828
Phone
(818) 416-9484
NPI assigned
Oct 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Authorized official

Name
Dr. Edwin Mirzabeigi, MDNPI 1184865404
Title
Owner
Phone
(818) 416-9484

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
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

8215 Van Nuys Blvd Ste 106
Panorama City, CA 91402-4828

Mailing address

466 Foothill Blvd # 189
La Canada, CA 91011-3518
Phone (818) 416-9484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251204003172 CA Part B Supplier - Clinic/Group Practice 5698268993 Receives reassigned benefits from 1 practitioner
Practice locations: Panorama City, CA

National Provider Directory

National Provider Directory

Locations

466 Foothill Blvd
#189
La Canada Flintridge, CA 91011
Phone (818) 416-9484

8215 Van Nuys Blvd
Ste 106
Panorama City, CA 91402
Phone (818) 416-9484

Practitioners & affiliated clinicians

Practitioners 1

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": "1759968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1346115144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 FOOTHILL BLVD # 189",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910113518",
            "telephone_number": "818-416-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8215 VAN NUYS BLVD STE 106",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024828",
            "telephone_number": "818-416-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWIN MIRZABEIGI MD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "MIRZABEIGI",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-416-9484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.