NPIMap

Organization Active NPI

Rabin Nikjoo, M.D., Inc.

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1578813150
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A98738 Issued in CA
Legal business name
RABIN NIKJOO, M.D., INC.
Practice address
1872 S Sepulveda Blvd
Suite 2
Los Angeles, CA 90025-4314
Phone
(310) 985-0443
NPI assigned
Sep 11, 2012
Last updated
Sep 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Authorized official

Name
Rabin Nikjoo, M.D.NPI 1316085152
Title
Physician
Phone
(310) 985-0443

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A98738 CA Primary

Addresses

Primary practice location

1872 S Sepulveda Blvd
Suite 2
Los Angeles, CA 90025-4314

Mailing address

1872 S Sepulveda Blvd
Suite 2
Los Angeles, CA 90025-4314

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121211000127 CA Part B Supplier - Clinic/Group Practice 3375795743 Receives reassigned benefits from 1 practitioner
Practice locations: Tarzana, CA

National Provider Directory

National Provider Directory

Locations

1872 S Sepulveda Blvd
#2
Los Angeles, CA 90025
Phone (310) 444-9121

18751 Ventura Blvd
Tarzana, CA 91356

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1578813150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1872 S SEPULVEDA BLVD",
            "address_2": "SUITE 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1872 S SEPULVEDA BLVD",
            "address_2": "SUITE 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900254314",
            "telephone_number": "310-985-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RABIN NIKJOO, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "NIKJOO",
        "authorized_official_first_name": "RABIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "310-985-0443",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A98738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.