Individual provider Active NPI

Neeki Ghaissari, BA

  • Student in an Organized Health Care Education/Training Program
  • Woodland Hills, CA
National Provider Identifier
1801244645
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
D8799431 Issued in CA
Practice address
5550 Owensmouth Ave
Building 11, Unit 107
Woodland Hills, CA 91367-7032
Phone
(818) 861-5881
NPI assigned
Jun 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X D8799431 CA Primary

Addresses

Primary practice location

5550 Owensmouth Ave
Building 11, Unit 107
Woodland Hills, CA 91367-7032

Mailing address

5550 Owensmouth Ave
Building 11, Unit 107
Woodland Hills, CA 91367-7032
Phone (818) 861-5881

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
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
D8799431CAMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1801244645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 OWENSMOUTH AVE",
            "address_2": "BUILDING 11, UNIT 107",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677032",
            "telephone_number": "818-861-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 OWENSMOUTH AVE",
            "address_2": "BUILDING 11, UNIT 107",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677032",
            "telephone_number": "818-861-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAISSARI",
        "first_name": "NEEKI",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "D8799431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.