Individual provider Active NPI

Hamid Reza Davarnia, OTR

  • Occupational Therapist
  • Tarzana, CA
National Provider Identifier
1386921484
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3793 Issued in CA
Practice address
18307 Sylvan St
Tarzana, CA 91335-7050
Phone
(818) 621-5510
Fax
(818) 345-3831
NPI assigned
Nov 3, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3793 CA Primary

Addresses

Primary practice location

18307 Sylvan St
Tarzana, CA 91335-7050

Mailing address

18307 Sylvan St
Tarzana, CA 91335-7050
Phone (818) 621-5510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3793CAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1386921484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18307 SYLVAN ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913357050",
            "telephone_number": "818-621-5510",
            "fax_number": "818-345-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18307 SYLVAN ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913357050",
            "telephone_number": "818-621-5510",
            "fax_number": "818-345-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVARNIA",
        "first_name": "HAMID",
        "middle_name": "REZA",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "3793",
            "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 Nov 3, 2011; 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.