Active NPI
Kiana Samar Bahadoran
- Community Health Worker
- Granada Hills, CA
National Provider Identifier
1780082289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- OT 2843
- Practice address
- 17233 Warrington Dr
Granada Hills, CA 91344-1904 - Phone
- (818) 968-0666
- NPI assigned
- Dec 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | OT 2843 | CA | Primary |
Addresses
Primary practice location
17233 Warrington Dr
Granada Hills, CA 91344-1904
Mailing address
17233 Warrington Dr.
Granada Hills, CA 91344
Phone (818) 968-0666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 2843 | CA | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418601600000",
"number": "1780082289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17233 WARRINGTON DR.",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "91344",
"telephone_number": "818-968-0666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17233 WARRINGTON DR",
"city": "GRANADA HILLS",
"state": "CA",
"postal_code": "913441904",
"telephone_number": "818-968-0666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMAR BAHADORAN",
"first_name": "KIANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-15",
"last_updated": "2014-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": "OT 2843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Granada Hills, CA
- Saint Nick Assisted Living
- Saint Peregrine Hospice Care, Inc.
- Miguel Angel Salas, NATUROPATHIC DOCTOR
- Ernest Allen Sales, RN
- Salubrious Home Health Care, Inc.
- Sasha Samaranayake
- San Fernando Mental Center
- San Fernando Mental Health Center
- San Fernando Mission Group Home
- San Fernando Valley Adhc LLC (San Fernando Valley Adult Day Health Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.