California Sports & Rehab Center

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A38773 Issued in CA

Legal business name

CALIFORNIA SPORTS & REHAB CENTER

Practice address

16661 Ventura Blvd
Suite 714
Encino, CA 91436

Phone

(818) 784-6961

Fax

(818) 784-2336

NPI assigned

Sep 1, 2006

Organization subpart

No

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

Authorized official

Name

Sholeh Hakimian

Title

Office Administrator

Phone

(310) 652-6060

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• California Sports & Rehab Center

  • Physical Medicine & Rehabilitation Physician
  • Beverly Hills, CA
  • NPI 1912924499

  O20040512001644

  Same enrollment

Tax ID family

California Sports Rehab Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• California Sports & Rehab Center

  • Physical Medicine & Rehabilitation Physician
  • Beverly Hills, CA
  • NPI 1912924499
  NPD tax ID

Locations

Practitioners 1

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

• Kamran Hakimian, M D

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Beverly Hills, CA
  • NPI 1689871865
  NPD

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1598867780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N LA CIENEGA BLVD",
            "address_2": "SUITE 219",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90211",
            "telephone_number": "310-652-6060",
            "fax_number": "310-652-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD",
            "address_2": "SUITE 714",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "91436",
            "telephone_number": "818-784-6961",
            "fax_number": "818-784-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA SPORTS & REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "HAKIMIAN",
        "authorized_official_first_name": "SHOLEH",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "310-652-6060"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A38773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "00A387732",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• California Institute for CV&LVS
• California Orthopedics and Sports Medicine Associates
• California Outpatient Anesthesia Specialists Team, Inc.,
• California Psychological Associates
• California Rehabilitation & Sports Therapy
• Marilyn R Calvo, DDS
• Hannah Faith Copon Campano
• Ricardo Campbell, P.A.
• Arturo Nieto Campos
• Felipe Juaquin Campos Jr., BCBA

• Physical Medicine & Rehabilitation Physician in Encino, CA
• Providers in Encino, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.