Babak Kosari, D.P.M., Inc.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4472 Issued in CA

Legal business name

BABAK KOSARI, D.P.M., INC.

Practice address

17075 Devonshire St
Suite 304
Northridge, CA 91325-1600

Phone

(818) 831-1000

Fax

(818) 831-5700

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Babak Kosari, D.P.M.NPI 1639101793

Title

Ceo

Phone

(818) 831-1000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DGCCDA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Babak Kosari, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Northridge, CA
  • NPI 1639101793
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1720104227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17075 DEVONSHIRE ST",
            "address_2": "SUITE 304",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251600",
            "telephone_number": "818-831-1000",
            "fax_number": "818-831-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17075 DEVONSHIRE ST",
            "address_2": "SUITE 304",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251600",
            "telephone_number": "818-831-1000",
            "fax_number": "818-831-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BABAK KOSARI, D.P.M., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "KOSARI",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-831-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arleen Pak Azar-Mehr, D.D.S., M.S.
• Masoud M Azizad, MD
• Ruth Azrael
• Azure Home Health, LLC
• Babak Kohanoff D.D.S
• Amber Nicole Babineaux
• Mariana Badra
• Rita Baer, LMFT
• Luiza Bagdadyan
• Shirlin Baharian

• Foot & Ankle Surgery Podiatrist in Northridge, CA
• Providers in Northridge, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.