Sarvenaz Pahlavan

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5168 N Blythe Ave Ste 103
Fresno, CA 93722-6478

Phone

(559) 777-7407

NPI assigned

Mar 4, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Sarvenaz Pahlavan Tate Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1518592153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST STE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677807",
            "telephone_number": "818-345-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5168 N BLYTHE AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937226478",
            "telephone_number": "559-777-7407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Park Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936114432",
            "country_code": "US",
            "telephone_number": "559-460-9090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5363 N Fresno St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937106848",
            "country_code": "US",
            "telephone_number": "818-345-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAHLAVAN",
        "first_name": "SARVENAZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARVENAZ",
            "last_name": "TATE",
            "middle_name": "PAHLAVAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Stephen Page, M.D.
• Michelle Page
• Patrick Paggett, LVN
• Kayla June Nena Paguio
• Monique Ashley Paguio
• Soumya Pai
• Samuel M. Paik, PHARMD
• Antoinette Marie Painter
• Melanie Denise Pajaud-Enyinnah
• Kiranjeet K Pak

• Behavior Technician in Fresno, CA
• Providers in Fresno, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.