Active NPI
Melody Afvari, PA
- Physician Assistant
- Northridge, CA
National Provider Identifier
1841614575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 51460
- Practice address
- 9346 Corbin Ave
Northridge, CA 91324-2405 - Phone
- (818) 349-9966
- NPI assigned
- Feb 18, 2014
- Last updated
- Dec 23, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 51460 | CA | Primary |
Addresses
Primary practice location
9346 Corbin Ave
Northridge, CA 91324-2405
Mailing address
5200 Etiwanda Ave
Tarzana, CA 91356-4336
Phone (818) 961-7511
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)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419292800000",
"number": "1841614575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 ETIWANDA AVE",
"city": "TARZANA",
"state": "CA",
"postal_code": "913564336",
"telephone_number": "818-961-7511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9346 CORBIN AVE",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913242405",
"telephone_number": "818-349-9966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AFVARI",
"first_name": "MELODY",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-18",
"last_updated": "2014-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "51460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northridge, CA
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- Agape Adult Home Care LLC
- Dina Agazaryan, FNP
- Buenaventura Gaviola Agraviador III, PTLA
- Bea Dianna Aguilan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.