Active NPI
Jonas Kourosh Faghihi, PHYSICAL THERAPIST
- Specialist
- Encino, CA
National Provider Identifier
1427296102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 8914
- Practice address
- 17944 Collins Street
Encino, CA 91316 - Phone
- (818) 324-3636
- NPI assigned
- Feb 3, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 8914 | CA | Primary |
Addresses
Primary practice location
17944 Collins Street
Encino, CA 91316
Mailing address
17944 Collins St
Encino, CA 91316-1029
Phone (818) 324-3636
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8914 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233619200000",
"number": "1427296102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17944 COLLINS ST",
"city": "ENCINO",
"state": "CA",
"postal_code": "913161029",
"telephone_number": "818-324-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17944 COLLINS STREET",
"city": "ENCINO",
"state": "CA",
"postal_code": "91316",
"telephone_number": "818-324-3636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAGHIHI",
"first_name": "JONAS",
"middle_name": "KOUROSH",
"name_prefix": "Mr.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-03",
"last_updated": "2009-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "8914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.