Organization Active NPI

Mehras Akhavan, MD, Inc

Doing business as L.A. Pain Medicine Clinic

  • Physical Medicine & Rehabilitation Physician
  • Sherman Oaks, CA
National Provider Identifier
1467717975
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A82275 Issued in CA
Legal business name
MEHRAS AKHAVAN, MD, INC
Doing business as
L.A. Pain Medicine Clinic
Practice address
4940 Van Nuys Blvd Ste 105
Sherman Oaks, CA 91403-1740
Phone
(818) 990-9050
Fax
(818) 990-9070
NPI assigned
Jul 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Mehras Akhavan, MDNPI 1497817332
Title
Ceo
Phone
(818) 990-9050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Electrodiagnostic Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204R00000X A82275 CA
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X A82275 CA Primary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X A82275 CA
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X A82275 CA

Addresses

Primary practice location

4940 Van Nuys Blvd Ste 105
Sherman Oaks, CA 91403-1740

Mailing address

4940 Van Nuys Blvd
Ste 301
Sherman Oaks, CA 91403-1700
Phone (818) 990-9050

Other identifiers 1

IdentifierTypeStateIssuer
A82275OtherCALICENSE

Other names 1

  • L.A. Pain Medicine Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130311000414 CA Part B Supplier - Clinic/Group Practice 7618122003 Receives reassigned benefits from 1 practitioner
Practice locations: Sherman Oaks, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2096395Mehras Akhavan MD Inc4940 Van Nuys Blvd Ste 105, Sherman Oaks, CA 91403Certificate of waiverMay 21, 2027

National Provider Directory

National Provider Directory

Locations

4940 Van Nuys Blvd
Ste 301
Sherman Oaks, CA 91403
Phone (818) 907-0952

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1467717975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 VAN NUYS BLVD",
            "address_2": "STE 301",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031700",
            "telephone_number": "818-990-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 VAN NUYS BLVD STE 105",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031740",
            "telephone_number": "818-990-9050",
            "fax_number": "818-990-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHRAS AKHAVAN, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2025-09-02",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "AKHAVAN",
        "authorized_official_first_name": "MEHRAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-990-9050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": "CA",
            "license": "A82275",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A82275",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A82275",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A82275",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A82275",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "L.A. Pain Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.