Nogol Pedram

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Practice address

860 Hampshire Rd Ste P
Westlake Village, CA 91361-6020

Phone

(805) 852-5055

NPI assigned

Jun 6, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advantage Health Solutions Inc

  • Physical Therapy Clinic/Center
  • Westlake Village, CA
  • NPI 1417576588
  NPD Authorized official
• Evolve Home Health

  • Home Health Agency
  • Agoura Hills, CA
  • NPI 1104431147
  NPD Authorized official

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1578055364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 S SPRING ST #13308",
            "address_2": "SMB 7649",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90013",
            "telephone_number": "559-326-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 HAMPSHIRE RD STE P",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913616020",
            "telephone_number": "805-852-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDRAM",
        "first_name": "NOGOL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@advantagehealth.solutions",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "860 Hampshire Rd Ste P",
            "city": "Westlake Village",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913616020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paul J. Gilmartin D.C. a Chiropractic Professional Corp.
• Peacefield Health Care LLC
• Peacefield Health Care, LLC.
• Ira Lawn Pearlman, DDS
• Nasim Pedram, DC
• Peggy Hunt Licensed Clinical Social Worker, Inc.
• Tynesha Penny
• Alyssa Paige Penton
• Jesus Perez
• Michelle D Perlmutter, LCSW

• Physical Therapy Clinic/Center in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.