Active NPI
Mohsen Safaie PT Inc.
- Specialist
- North Hollywood, CA
National Provider Identifier
1447655188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT13563
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT13563 | Other | CA | CA LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.