Niloofar Kalantari, DMSC, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA63888 Issued in CA

Practice address

15336 Devonshire St Ste 1
Mission Hills, CA 91345-2766

Phone

(818) 894-5616

NPI assigned

Jul 19, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

La Laser Center PC a Professional Medical CorporationGroup PAC ID 9537181185, 81 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• La Laser Center, PC, a Professional Medical Corporation

  • Multi-Specialty Clinic/Center
  • San Clemente, CA
  • NPI 1306982855
  Care Compare group
• Frank R. Lusher, M.D., Inc.

  • Specialist
  • Mission Hills, CA
  • NPI 1932432929
  NPD (past)

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1427738962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15336 DEVONSHIRE ST STE 1",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452766",
            "telephone_number": "818-894-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15336 DEVONSHIRE ST STE 1",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452766",
            "telephone_number": "818-894-5616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 W Century Blvd Ste 750",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900455443",
            "country_code": "US",
            "telephone_number": "888-880-3451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23206 Lyons Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Santa Clarita",
            "state": "CA",
            "postal_code": "913212671",
            "country_code": "US",
            "telephone_number": "661-254-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALANTARI",
        "first_name": "NILOOFAR",
        "credential": "DMSC, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA63888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade Yu Juang, OD
• Benjamin Juarez
• Mary Jane Julius, PSYD
• Kaiser Foundation Health Plan Inc
• Kal Therapy, Inc.
• Melisa Kamali-Grigorian, N.P.
• Jerome Satoshi Kamei, DDS
• Jihyun Kang
• Natalie Karapetians, M.D.
• Karen K. Quirk, M.D., Inc

• Medical Physician Assistant in Mission Hills, CA
• Providers in Mission Hills, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.