Reach Behavioral Medicine Inc.

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

A34558 Issued in CA

Legal business name

REACH BEHAVIORAL MEDICINE INC.

Practice address

3304 W Burbank Blvd
Burbank, CA 91505-2230

Phone

(323) 351-6136

Fax

(323) 553-2789

NPI assigned

Jan 16, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Alix Nassiri, D.O.

Title

Ceo

Phone

(951) 529-7890

Specialties & licenses 6

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ali Nassiri, DO

  • Anesthesiology Physician
  • Glendale, CA
  • NPI 1831367762

  Pain Medicine

  NPD

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516060800000",
    "number": "1831607589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910310218",
            "telephone_number": "951-529-7890",
            "fax_number": "323-553-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 W BURBANK BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052230",
            "telephone_number": "323-351-6136",
            "fax_number": "323-553-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACH BEHAVIORAL MEDICINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-01-16",
        "status": "A",
        "authorized_official_last_name": "NASSIRI",
        "authorized_official_first_name": "ALIX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-529-7890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "CA",
            "license": "20A9369",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "20A9369",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A48224",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A48224",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A34558",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "CA",
            "license": "A34558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond a. Shofler, M.D. a Medical Corporation
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• Teresita Raymundo-Laurente
• Luisa Lorein Tancio Raymundo
• Bryan Razo
• Emily Recht, SLP
• Jessica L. Recinos
• Aster C Recio, DDS
• Recoup Home Health
• Recreation Healing Center Inc.

• Addiction Psychiatry Physician in Burbank, CA
• Providers in Burbank, CA by specialty
• Addiction Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; 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.