Organization Active NPI

Houman M Kashani, MD a Professional Corporation

  • Primary Care Clinic/Center
  • Reseda, CA
National Provider Identifier
1689815763
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A84361 Issued in CA
Legal business name
HOUMAN M KASHANI, MD A PROFESSIONAL CORPORATION
Practice address
18355 Sherman Way
Reseda, CA 91335-4436
Phone
(818) 343-0964
NPI assigned
Mar 18, 2009
Last updated
May 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2009

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

Authorized official

Name
Dr. Houman M Kashani, MDNPI 1063468346
Title
President
Phone
(310) 780-5826

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A84361 CA Primary

Addresses

Primary practice location

18355 Sherman Way
Reseda, CA 91335-4436

Mailing address

12115 San Vicente Blvd
Suite 306
Los Angeles, CA 90049-4942
Phone (310) 780-5826

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090723000054 CA Part B Supplier - Clinic/Group Practice 0547312449 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA; Reseda, CA

National Provider Directory

National Provider Directory
Tax ID family
Houman M Kashani MD Apc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

747 Warehouse St
Los Angeles, CA 90021
Phone (310) 780-5826

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242000000000",
    "number": "1689815763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12115 SAN VICENTE BLVD",
            "address_2": "SUITE 306",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494942",
            "telephone_number": "310-780-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18355 SHERMAN WAY",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354436",
            "telephone_number": "818-343-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUMAN M KASHANI, MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-05-11",
        "status": "A",
        "authorized_official_last_name": "KASHANI",
        "authorized_official_first_name": "HOUMAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-780-5826",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A84361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.