Organization Active NPI

Peyman Ghasri, M.D. a Professional Corporation

  • Dermatology Physician
  • Tarzana, CA
National Provider Identifier
1356498976
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A83809 Issued in CA
Legal business name
PEYMAN GHASRI, M.D. A PROFESSIONAL CORPORATION
Practice address
18555 Ventura Blvd
Suite E
Tarzana, CA 91356
Phone
(818) 344-3376
Fax
(818) 334-3396
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Dr. Peyman Ghasri, MDNPI 1265498034
Title
President
Phone
(813) 344-3376

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X A83809 CA Primary

Addresses

Primary practice location

18555 Ventura Blvd
Suite E
Tarzana, CA 91356

Mailing address

18555 Ventura Blvd Ste E
Tarzana, CA 91356-4192
Phone (818) 344-3376

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070306000705 CA Part B Supplier - Clinic/Group Practice 2264535566 Receives reassigned benefits from 3 practitioners
Practice locations: Tarzana, CA

National Provider Directory

National Provider Directory

Locations

18555 Ventura Blvd
Tarzana, CA 91356
Phone (818) 344-3376

Practitioners & affiliated clinicians

Practitioners 3

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": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1356498976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18555 VENTURA BLVD STE E",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564192",
            "telephone_number": "818-344-3376",
            "fax_number": "818-334-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18555 VENTURA BLVD",
            "address_2": "SUITE E",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "91356",
            "telephone_number": "818-344-3376",
            "fax_number": "818-334-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEYMAN GHASRI, M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "GHASRI",
        "authorized_official_first_name": "PEYMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-344-3376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A83809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.