Maxwell J Safahi

Primary specialty

Emergency Clinical Nurse SpecialistTaxonomy code 364SE0003X

License

95248523 Issued in CA

Practice address

16661 Ventura Blvd # 224B
Encino, CA 91436-1914

Phone

(818) 299-1010

NPI assigned

Jul 3, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1730866559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21226 VENTURA BLVD # 101",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642106",
            "telephone_number": "818-299-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD # 224B",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361914",
            "telephone_number": "818-299-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFAHI",
        "first_name": "MAXWELL",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SE0003X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Emergency",
            "state": "CA",
            "license": "95248523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shervin Sadrpour, MD
• Saeed K. Dini, Inc.
• Saeid Karandish MD Inc
• Saadat A Safa, DMD., MS,
• Soosan Safa, CHHA
• Bahareh Safaie, DDS
• Safe Space Clinics, Inc
• Safederm Wound Solution Inc
• Osamah Safende, DMD
• Safyre Holistic, Inc

• Clinical Nurse Specialist in Encino, CA
• Providers in Encino, CA by specialty
• Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.