Active NPI
Parisa Pourzand MD Inc
- Obstetrics & Gynecology Physician
- Glendale, CA
National Provider Identifier
1679713689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A80373
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1096651 | Parisa Pourzand, MD Inc | Certificate of waiver | Mar 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Obstetrics & Gynecology Physician
- Glendale, CA
- NPI 1548212681
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.