NPIMap

Organization Active NPI

Payam Vahedifar MD Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Encino, CA
National Provider Identifier
1710176094
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
A63617 Issued in CA
Legal business name
PAYAM VAHEDIFAR MD INC
Practice address
16633 Ventura Blvd
Suite 802
Encino, CA 91436-1824
Phone
(818) 986-0200
Fax
(818) 986-4393
NPI assigned
Oct 23, 2007
Last updated
Apr 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Authorized official

Name
Dr. Payam Vahedifar, M.D.
Title
Physician & Owner
Phone
(310) 795-5645

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X A63617 CA Primary

Addresses

Primary practice location

16633 Ventura Blvd
Suite 802
Encino, CA 91436-1824

Mailing address

16633 Ventura Blvd
Suite 802
Encino, CA 91436-1824
Phone (818) 986-0200

Other identifiers 1

IdentifierTypeStateIssuer
1861473464OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

16311 Ventura Blvd
Ste 800
Encino, CA 91436
Phone (818) 788-7343

16633 Ventura Blvd
Ste 802
Encino, CA 91436
Phone (818) 986-0200

Practitioners & affiliated clinicians

Practitioners 12

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": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1710176094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16633 VENTURA BLVD",
            "address_2": "SUITE 802",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361824",
            "telephone_number": "818-986-0200",
            "fax_number": "818-986-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16633 VENTURA BLVD",
            "address_2": "SUITE 802",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361824",
            "telephone_number": "818-986-0200",
            "fax_number": "818-986-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYAM VAHEDIFAR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "VAHEDIFAR",
        "authorized_official_first_name": "PAYAM",
        "authorized_official_title_or_position": "PHYSICIAN & OWNER",
        "authorized_official_telephone_number": "310-795-5645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A63617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1861473464",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.