Sogol Safarian Hamedany

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

00013245 Issued in CA

Practice address

600 Corporate Dr
Ladera Ranch, CA 92694-2106

Phone

(949) 460-3833

NPI assigned

Feb 24, 2019

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

• Sophie Safarian Hamedany Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1550966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1629535844",
    "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": "600 CORPORATE DR",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942106",
            "telephone_number": "949-460-3833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27127 Calle Arroyo Ste 1921",
            "address_purpose": "LOCATION",
            "city": "San Juan Capistrano",
            "state": "CA",
            "postal_code": "926752765",
            "country_code": "US",
            "telephone_number": "949-661-6753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMEDANY",
        "first_name": "SOGOL",
        "middle_name": "SAFARIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-24",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "Y4462506",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "00013245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIE",
            "last_name": "HAMEDANY",
            "middle_name": "SAFARIAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kayley Gordon
• Tiffany Ann Gordon
• Kimberly Rivera Gress, DDS
• Bettina A Grillo
• Tyler Hales, DDS
• Maryam Hamidi, PHYSICAL THERAPIST
• Samara Elias Hanna
• Shani Hans
• Stephen Harkins, D.C.
• Harmony Behavioral Center Inc

• All providers in Ladera Ranch, CA
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.