NPIMap

Organization Active NPI

Roohbakhsh Maher DPM. Inc

  • Podiatrist
  • Redondo Beach, CA
National Provider Identifier
1639366941
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4024 Issued in CA
Legal business name
ROOHBAKHSH MAHER DPM. INC
Practice address
2850 Artesia Blvd
Suite 204
Redondo Beach, CA 90278-3419
Phone
(310) 214-9700
Fax
(310) 214-9790
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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

Authorized official

Name
Dr. Roohbakhsh Maher, DPM
Title
President
Phone
(310) 214-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X E4024 CA Primary

Addresses

Primary practice location

2850 Artesia Blvd
Suite 204
Redondo Beach, CA 90278-3419

Mailing address

2850 Artesia Blvd
Suite 204
Redondo Beach, CA 90278-3419
Phone (310) 214-9700

Other identifiers 1

IdentifierTypeStateIssuer
W17257MedicaidCA

National Provider Directory

National Provider Directory

Locations

18401 Sherman Way
Reseda, CA 91335
Phone (818) 345-4597

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356912000000",
    "number": "1639366941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 ARTESIA BLVD",
            "address_2": "SUITE 204",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783419",
            "telephone_number": "310-214-9700",
            "fax_number": "310-214-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 ARTESIA BLVD",
            "address_2": "SUITE 204",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783419",
            "telephone_number": "310-214-9700",
            "fax_number": "310-214-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOHBAKHSH MAHER DPM. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2012-12-31",
        "status": "A",
        "authorized_official_last_name": "MAHER",
        "authorized_official_first_name": "ROOHBAKHSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-214-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W17257",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; 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.