NPIMap

Organization Active NPI

Behrouz Dardashti M.D a Medical Corporation

  • General Practice Physician
  • Encino, CA
National Provider Identifier
1780055269
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A38320 Issued in CA
Legal business name
BEHROUZ DARDASHTI M.D A MEDICAL CORPORATION
Practice address
16250 Ventura Blvd
Suite 230
Encino, CA 91436-2204
Phone
(818) 995-6003
Fax
(818) 995-3862
NPI assigned
Oct 9, 2015
Last updated
Aug 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Authorized official

Name
Behrouz Dardashti, M.D.NPI 1427118355
Title
President
Phone
(818) 995-6003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A38320 CA Primary

Addresses

Primary practice location

16250 Ventura Blvd
Suite 230
Encino, CA 91436-2204

Mailing address

16250 Ventura Blvd
Suite 230
Encino, CA 91436-2204
Phone (818) 995-6003

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1780055269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16250 VENTURA BLVD",
            "address_2": "SUITE 230",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362204",
            "telephone_number": "818-995-6003",
            "fax_number": "818-995-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16250 VENTURA BLVD",
            "address_2": "SUITE 230",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362204",
            "telephone_number": "818-995-6003",
            "fax_number": "818-995-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHROUZ DARDASHTI M.D A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-09",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "DARDASHTI",
        "authorized_official_first_name": "BEHROUZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-995-6003",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A38320",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 25, 2016; 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.