Shadi Mirzaei

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

4676 Laurelgrove Ave
Studio City, CA 91604-1226

Phone

(949) 426-5912

NPI assigned

Mar 29, 2025

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1743206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743206400000",
    "number": "1750184446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4676 LAURELGROVE AVE",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916041226",
            "telephone_number": "949-426-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4676 LAURELGROVE AVE",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916041226",
            "telephone_number": "949-426-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZAEI",
        "first_name": "SHADI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-29",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Abdulian MD Inc
• Mighty River Wellness
• Victoriano Lofranco Millanes Jr., PTA
• Alicia C Milstead
• Mindfully Sara, Inc.
• Eliza Ann Mitchell
• Mobil Neurodiagnostics Services Management, Inc
• Mobile Medix Inc
• Jena Alexandra Moch, ASW
• Robert W. Moffie, PH.D.

• Student in an Organized Health Care Education/Training Program in Studio City, CA
• Providers in Studio City, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2025; 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.