Active NPI
Khaz Anesthesia, Inc
- Anesthesiology Physician
- Tarzana, CA
National Provider Identifier
1770928459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A85856
- Legal business name
- KHAZ ANESTHESIA, INC
- Practice address
- 5620 Wilbur Ave
Suite 305
Tarzana, CA 91356-1351 - Phone
- (818) 578-5125
- NPI assigned
- May 7, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amir M Khazaielinajafabadi, MD
- Title
- President
- Phone
- (916) 266-1661
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A85856 | Primary | |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | A85856 | CA | |
| Pediatric Anesthesiology Physician | 207LP3000X | A85856 | CA |
Addresses
Primary practice location
5620 Wilbur Ave
Suite 305
Tarzana, CA 91356-1351
Mailing address
21241 Ventura Blvd
Suite 158
Woodland Hills, CA 91364-2108
Phone (818) 884-7724
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A858560 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
21241 Ventura Blvd
Ste 158
Woodland Hills, CA 91364
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Beverly Hills, CA
- NPI 1013905538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367971200000",
"number": "1770928459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21241 VENTURA BLVD",
"address_2": "SUITE 158",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913642108",
"telephone_number": "818-884-7724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5620 WILBUR AVE",
"address_2": "SUITE 305",
"city": "TARZANA",
"state": "CA",
"postal_code": "913561351",
"telephone_number": "818-578-5125"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KHAZ ANESTHESIA, INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-07",
"last_updated": "2013-05-08",
"status": "A",
"authorized_official_last_name": "KHAZAIELINAJAFABADI",
"authorized_official_first_name": "AMIR",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "916-266-1661",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": "A85856",
"primary": true
},
{
"code": "207LC0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "CA",
"license": "A85856",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "CA",
"license": "A85856",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A858560",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.