Individual provider Active NPI

Tina Badakhshan

  • Student in an Organized Health Care Education/Training Program
  • Los Angeles, CA
National Provider Identifier
1467363341
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
4850 Hollywood Blvd Apt 502
Los Angeles, CA 90027-3270
Phone
(949) 328-6593
NPI assigned
Sep 17, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

4850 Hollywood Blvd Apt 502
Los Angeles, CA 90027-3270

Mailing address

4850 Hollywood Blvd Apt 502
Los Angeles, CA 90027-3270
Phone (949) 412-7492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1467363341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 HOLLYWOOD BLVD APT 502",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900273270",
            "telephone_number": "949-412-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 HOLLYWOOD BLVD APT 502",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900273270",
            "telephone_number": "949-328-6593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADAKHSHAN",
        "first_name": "TINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.