Simon Boostanfar, M.D.

Primary specialty

Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X

License

A031384 Issued in CA

Practice address

1250 La Venta Rd Ste 209
Westlake Village, CA 91361-3767

Phone

(805) 497-1649

Fax

(805) 497-1069

NPI assigned

Aug 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649282278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 LA VENTA RD STE 209",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613767",
            "telephone_number": "805-497-1649",
            "fax_number": "805-497-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 LA VENTA RD STE 209",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613767",
            "telephone_number": "805-497-1649",
            "fax_number": "805-497-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOSTANFAR",
        "first_name": "SIMON",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "CA",
            "license": "A031384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena M Bonn, PSY.D.
• Paul Angelo Bonn, MPT
• Erica Elizabeth Booker, MSW
• Boon Physical Therapy, P.C.
• Robert Boostanfar, M.D.
• Brittany Irshay Booth, MD, MPH
• Eric Boranian
• Steven Borg, C.C.P.
• Rachel Bornfeld, LMFT, ATR
• Tiffany Bornn, PHD

• Pediatric Hematology & Oncology Physician in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Pediatric Hematology & Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.