Parviz Paris Servatjoo

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

7217 Canby Ave
Reseda, CA 91335-3003

Phone

(818) 995-4040

Fax

(818) 996-3219

NPI assigned

Aug 12, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Parviz Paris Servatjoo Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1811143605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7217 CANBY AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913353003",
            "telephone_number": "818-995-4040",
            "fax_number": "818-996-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7217 CANBY AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913353003",
            "telephone_number": "818-995-4040",
            "fax_number": "818-996-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERVATJOO",
        "first_name": "PARVIZ",
        "middle_name": "PARIS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-12",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3494",
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PARVIZ",
            "last_name": "SERVATJOO",
            "middle_name": "PARIS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Other Technician in Reseda, CA
• Providers in Reseda, CA by specialty
• Other Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.