Organization Active NPI

Khodamrad Payman, M.D., Inc.

  • Orthopaedic Surgery of the Spine Physician
  • Encino, CA
National Provider Identifier
1629265434
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
A75190 Issued in CA
Legal business name
KHODAMRAD PAYMAN, M.D., INC.
Practice address
17525 Ventura Blvd
Suite 203
Encino, CA 91316-3843
Phone
(818) 986-0200
Fax
(818) 986-4393
NPI assigned
Sep 26, 2007
Last updated
Jan 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Authorized official

Name
Dr. Khodam-Rad Payman, M.D.NPI 1841392610
Title
President
Phone
(310) 428-6667

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
Orthopaedic Surgery of the Spine Physician 207XS0117X A75190 CA Primary

Addresses

Primary practice location

17525 Ventura Blvd
Suite 203
Encino, CA 91316-3843

Mailing address

17525 Ventura Blvd
Suite 203
Encino, CA 91316-3843
Phone (818) 986-0200

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1629265434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17525 VENTURA BLVD",
            "address_2": "SUITE 203",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163843",
            "telephone_number": "818-986-0200",
            "fax_number": "818-986-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17525 VENTURA BLVD",
            "address_2": "SUITE 203",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163843",
            "telephone_number": "818-986-0200",
            "fax_number": "818-986-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHODAMRAD PAYMAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "PAYMAN",
        "authorized_official_first_name": "KHODAM-RAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-428-6667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "A75190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.