Organization Active NPI

Mohsen Safaie PT Inc.

  • Specialist
  • North Hollywood, CA
National Provider Identifier
1447655188
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT13563 Issued in CA
Legal business name
MOHSEN SAFAIE PT INC.
Practice address
11650 Riverside Dr
2ND Floor
North Hollywood, CA 91602-1093
Phone
(818) 755-6070
NPI assigned
Oct 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Authorized official

Name
Mohsen Safaie, RPT
Title
President
Phone
(818) 389-6660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X PT13563 CA Primary

Addresses

Primary practice location

11650 Riverside Dr
2ND Floor
North Hollywood, CA 91602-1093

Mailing address

4843 Almidor Ave
Woodland Hills, CA 91364-3708
Phone (818) 389-6660

Other identifiers 1

IdentifierTypeStateIssuer
PT13563OtherCACA LICENSE

National Provider Directory

National Provider Directory

Locations

11650 Riverside Dr
Fl 2
North Hollywood, CA 91602
Phone (818) 755-1355

NPI Registry JSON

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1447655188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4843 ALMIDOR AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913643708",
            "telephone_number": "818-389-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 RIVERSIDE DR",
            "address_2": "2ND FLOOR",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916021093",
            "telephone_number": "818-755-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHSEN SAFAIE PT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "SAFAIE",
        "authorized_official_first_name": "MOHSEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-389-6660",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT13563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "PT13563",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.