Organization Active NPI

Parisa Pourzand MD Inc

  • Obstetrics & Gynecology Physician
  • Glendale, CA
National Provider Identifier
1679713689
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A80373 Issued in CA
Legal business name
PARISA POURZAND MD INC
Practice address
1141 N Brand Blvd
305
Glendale, CA 91202-2511
Phone
(818) 545-8322
NPI assigned
Mar 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

Name
Parisa Pourzand, MD
Title
President
Phone
(818) 545-8322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X A80373 CA Primary

Addresses

Primary practice location

1141 N Brand Blvd
305
Glendale, CA 91202-2511

Mailing address

269 S Beverly Dr
120
Beverly Hills, CA 90212-3851
Phone (818) 545-8322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090608000217 CA Part B Supplier - Clinic/Group Practice 4284783077 Receives reassigned benefits from 1 practitioner
Practice locations: Glendale, CA; Los Angeles, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1096651Parisa Pourzand, MD Inc1141 Brand Blvd Ste 305, Glendale, CA 91202Certificate of waiverMar 9, 2027

National Provider Directory

National Provider Directory

Locations

1141 N Brand Blvd
Ste 305
Glendale, CA 91202
Phone (818) 409-9900

530 Wilshire Blvd
Ste 202B
Santa Monica, CA 90401
Phone (310) 393-9359

Practitioners & affiliated clinicians

Practitioners 1

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": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1679713689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 S BEVERLY DR",
            "address_2": "120",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123851",
            "telephone_number": "818-545-8322",
            "fax_number": "818-545-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 N BRAND BLVD",
            "address_2": "305",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022511",
            "telephone_number": "818-545-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARISA POURZAND MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2012-01-12",
        "status": "A",
        "authorized_official_last_name": "POURZAND",
        "authorized_official_first_name": "PARISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-545-8322",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A80373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.