Individual provider Active NPI

Bijan Daneshgar, MD

  • Obstetrics & Gynecology Physician
  • Encino, CA
National Provider Identifier
1467465344
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A30971 Issued in CA
Practice address
16500 Ventura Blvd
Ste 222
Encino, CA 91436-2011
Phone
(818) 905-6111
Fax
(818) 905-3250
NPI assigned
Aug 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A30971 CA Primary

Addresses

Primary practice location

16500 Ventura Blvd
Ste 222
Encino, CA 91436-2011

Mailing address

16500 Ventura Blvd
Ste 222
Encino, CA 91436-2011
Phone (818) 905-6111

Other identifiers 1

IdentifierTypeStateIssuer
A30971MedicaidCA

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110922000095 CA Practitioner - Obstetrics/Gynecology 1254502370 Practice locations: Encino, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A30971CAMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467465344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16500 VENTURA BLVD",
            "address_2": "STE 222",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362011",
            "telephone_number": "818-905-6111",
            "fax_number": "818-905-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16500 VENTURA BLVD",
            "address_2": "STE 222",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362011",
            "telephone_number": "818-905-6111",
            "fax_number": "818-905-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANESHGAR",
        "first_name": "BIJAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A30971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A30971",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.