Organization Active NPI

Robert Imani MD, Inc.

  • Child & Adolescent Psychiatry Physician
  • Lancaster, CA
National Provider Identifier
1497087290
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
ROBERT IMANI MD, INC.
Doing business as
Robert Imani, M.D.
Practice address
1505 W Avenue J
103
Lancaster, CA 93534-2843
Phone
(818) 571-5576
NPI assigned
Feb 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Authorized official

Name
Dr. Robert Babak Imani, M.D.NPI 1639374747
Title
Physician
Phone
(818) 571-5576

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X Primary

Addresses

Primary practice location

1505 W Avenue J
103
Lancaster, CA 93534-2843

Mailing address

1505 W Avenue J
103
Lancaster, CA 93534-2843
Phone (818) 571-5576

Other names 1

  • Robert Imani, M.D. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100322000675 CA Part B Supplier - Clinic/Group Practice 2860527470 Receives reassigned benefits from 1 practitioner
Practice locations: Lancaster, CA; Santa Clarita, CA

National Provider Directory

National Provider Directory

Locations

1505 W Avenue J
Ste 103
Lancaster, CA 93534
Phone (661) 729-6644

27141 Hidaway Ave
Santa Clarita, CA 91351
Phone (312) 763-8454

27141 Hidaway Ave
Ste 203
Santa Clarita, CA 91351
Phone (661) 424-1774

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1497087290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 W AVENUE J",
            "address_2": "103",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342843",
            "telephone_number": "818-571-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 W AVENUE J",
            "address_2": "103",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342843",
            "telephone_number": "818-571-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT IMANI MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "IMANI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BABAK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "818-571-5576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert Imani, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.