NPIMap

Individual provider Active NPI

Samira Niksefat

  • Audiologist
  • Glendale, CA
National Provider Identifier
1427214378
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU2206 Issued in CA
Practice address
1111 N Brand Blvd
Ste L
Glendale, CA 91202-3070
Phone
(818) 244-7653
Fax
(818) 244-3229
NPI assigned
Jul 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU2206 CA Primary

Addresses

Primary practice location

1111 N Brand Blvd
Ste L
Glendale, CA 91202-3070

Mailing address

5000 Cheshire Pkwy N
Plymouth, MN 55446-4103
Phone (888) 510-0766

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
AU2206CAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Serendipity Hearing Inc PastSince Sep 15, 2012 Accepting new patients
Peter Jahangir Parker, MD, Inc. PastSince May 22, 2022 Accepting new patients
Tarzana Medical Urgent Care - a Professional Medical Corporation PastSince Apr 1, 2015 Accepting new patients
Connect Hearing, Inc. Audiologist Past Accepting new patients
Connect Hearing, Inc. Audiologist PastSince Dec 16, 2020 Accepting new patients
Connect Hearing, Inc. Audiologist Past Accepting new patients
Peter Jahangir Parker M D Inc. Past Accepting new patients
Oaks Diagnostic Inc Past Accepting new patients
Sonus-USA, Inc. Past Accepting new patients
Connect Hearing, Inc. Audiologist Past Accepting new patients
Total Rehab Institute Inc Past Accepting new patients
Encino Medical Urgent Care Inc. Past Accepting new patients
Connect Hearing, Inc. Audiologist Past Accepting new patients
Connect Hearing, Inc. Audiologist PastSince Dec 28, 2022 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17359/brand/1/csg/1/fhir/r4

Organizations & group practices 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305763200000",
    "number": "1427214378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CHESHIRE PKWY N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554464103",
            "telephone_number": "888-510-0766",
            "fax_number": "763-268-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N BRAND BLVD",
            "address_2": "STE L",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023070",
            "telephone_number": "818-244-7653",
            "fax_number": "818-244-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKSEFAT",
        "first_name": "SAMIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2011-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.