Aida Mahfood, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

58920 Issued in CA

Practice address

4418 Vineland Ave # 102
Toluca Lake, CA 91602-3457

Phone

(818) 842-7145

NPI assigned

Oct 23, 2019

Last updated

Sep 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premiere Medical Center of Burbank, Inc.

  • Internal Medicine Physician
  • Toluca Lake, CA
  • NPI 1831329218
  Medicare reassignment
• First Aid Urgent Care Inc

  • Urgent Care Clinic/Center
  • Tujunga, CA
  • NPI 1760889190
  NPD (past)
• Kami Adibi MD, Inc

  • Urgent Care Clinic/Center
  • Panorama City, CA
  • NPI 1265851471
  NPD (past)
• Skin and Beauty Center (SBC), Inc.

  • Dermatology Physician
  • Valencia, CA
  • NPI 1316026875
  NPD (past)

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1841833621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10604",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915100604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4418 VINELAND AVE # 102",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916023457",
            "telephone_number": "818-842-7145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1451 E Chevy Chase Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912064056",
            "country_code": "US",
            "telephone_number": "818-662-7157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHFOOD",
        "first_name": "AIDA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "58920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeana G. Libed, DPM
• Limbic Medical
• Nicholas Robert Lombardo
• Aleksandr V Lukoff, CMI, CORECHI
• Minh Q Mach, M.D.
• Michael D. Marsh, M.D.
• Samantha M Matros, M.S.N., F.N.P.-C.
• Ami Matsumoto, L.AC.
• Med Life Care Hospice Inc
• Angelica Menchaca, FNP-C

• Physician Assistant in Toluca Lake, CA
• Providers in Toluca Lake, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.