NPIMap

Organization Active NPI

Ebrahim Hakimian, M.D. Inc

  • General Practice Physician
  • Van Nuys, CA
National Provider Identifier
1699914937
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A48918 Issued in CA
Legal business name
EBRAHIM HAKIMIAN, M.D. INC
Practice address
14649 Victory Blvd
22
Van Nuys, CA 91411-4101
Phone
(818) 909-9868
Fax
(818) 909-9871
NPI assigned
Feb 10, 2009
Last updated
Jun 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Authorized official

Name
Dr. Ebrahim Hakimian, M.D.
Title
Medical Director
Phone
(818) 909-9868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A48918 CA Primary

Addresses

Primary practice location

14649 Victory Blvd
22
Van Nuys, CA 91411-4101

Mailing address

14649 Victory Blvd
22
Van Nuys, CA 91411-4101
Phone (818) 909-9868

Other identifiers 2

IdentifierTypeStateIssuer
00A489180MedicaidCA
BL178OtherCAMEDICARE PROVIDER NUMBER

Other names 1

  • CEDARS HEALTH CLINIC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1699914937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14649 VICTORY BLVD",
            "address_2": "22",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914114101",
            "telephone_number": "818-909-9868",
            "fax_number": "818-909-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14649 VICTORY BLVD",
            "address_2": "22",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914114101",
            "telephone_number": "818-909-9868",
            "fax_number": "818-909-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBRAHIM HAKIMIAN, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-10",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "HAKIMIAN",
        "authorized_official_first_name": "EBRAHIM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-909-9868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A48918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A489180",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "BL178",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CEDARS HEALTH CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.