Mehran Nowfar-Rad, M.D., Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A66360 Issued in CA

Legal business name

MEHRAN NOWFAR-RAD, M.D., INC.

Practice address

5400 Balboa Blvd
Suite # 217
Encino, CA 91316-1502

Phone

(818) 990-9665

NPI assigned

Aug 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mehran Nowfar-Rad, M.D.

Title

President

Phone

(818) 990-9665

Specialties & licenses 1

Addresses

Other names 1

• Regency Dermatology, Inc. Doing business as

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

{
    "created_epoch": "1186790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186790400000",
    "number": "1518159730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD",
            "address_2": "SUITE # 217",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161502",
            "telephone_number": "818-990-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD",
            "address_2": "SUITE # 217",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161502",
            "telephone_number": "818-990-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHRAN NOWFAR-RAD, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-11",
        "last_updated": "2007-08-11",
        "status": "A",
        "authorized_official_last_name": "NOWFAR-RAD",
        "authorized_official_first_name": "MEHRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-990-9665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A66360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regency Dermatology, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medultrasound
• Jaime Elizabeth Medvene, PH.D.
• Ann Meehan
• Neda Mehrabani, DC/LAC
• Yousef Mehrabi, M.D
• Mehta Meyer Chiropractic
• Akash Mehta, DO
• Amit Mehta, D.C.
• Dalya Meisels
• Kaley Meister, OTR

• Dermatology Physician in Encino, CA
• Providers in Encino, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.