B Moussazadeh a Medical Corporation

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

A108651 Issued in CA

Legal business name

B MOUSSAZADEH A MEDICAL CORPORATION

Practice address

5620 Wilbur Ave Ste 305
Tarzana, CA 91356-1311

Phone

(818) 588-4741

Fax

(818) 588-4748

NPI assigned

Feb 14, 2018

Last updated

Mar 3, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cheyenne Kaipat

Title

Office Manager

Phone

(818) 588-4741

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1376043513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 WILBUR AVE STE 305",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561311",
            "telephone_number": "818-588-4741",
            "fax_number": "818-588-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 WILBUR AVE STE 305",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561311",
            "telephone_number": "818-588-4741",
            "fax_number": "818-588-4748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5620 Wilbur Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "913561351",
            "country_code": "US",
            "telephone_number": "818-588-4741 x101",
            "fax_number": "818-588-4741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "B MOUSSAZADEH A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-14",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "KAIPAT",
        "authorized_official_first_name": "CHEYENNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-588-4741",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A108651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cheyenne@californiapaindocs.com",
            "affiliation": "N",
            "address_1": "5620 Wilbur Ave Ste 305",
            "city": "Tarzana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913561311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pain Medicine (Anesthesiology) Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.