Individual provider Active NPI

Aida Zabihian, PA-C

  • Student in an Organized Health Care Education/Training Program
  • Burbank, CA
National Provider Identifier
1851905624
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
PA62411 Issued in CA
Practice address
1311 N. San Fernando Blvd,
Burbank, CA 91504
Phone
(818) 843-9900
Fax
(818) 843-9909
NPI assigned
Aug 31, 2020
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Student in an Organized Health Care Education/Training Program 390200000X PA62411 CA Primary

Addresses

Primary practice location

1311 N. San Fernando Blvd,
Burbank, CA 91504

Mailing address

1311 N. San Fernando Blvd,
Burbank, CA 91504
Phone (818) 843-9900

Other names 1

  • Aida Keshavarz Rahbar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220203000808 WA Practitioner - Physician Assistant 9133512759 Reassigns benefits to 1 organization
I20250624002966 CA Practitioner - Physician Assistant 9133512759 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
62411CAMDOral and Maxillofacial Surgery (Dentist)
PA62411CAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
All-Inclusive Community Health Center CurrentSince Jun 13, 2025 Accepting new patients
Multicare Health System CurrentSince Nov 3, 2021 Accepting new patients
Multicare Health System CurrentSince Nov 3, 2021 Accepting new patients

Locations

1311 N San Fernando Blvd
Burbank, CA 91504
Phone (818) 843-9900

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1851905624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 N. SAN FERNANDO BLVD,",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91504",
            "telephone_number": "818-843-9900",
            "fax_number": "818-843-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 N. SAN FERNANDO BLVD,",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91504",
            "telephone_number": "818-843-9900",
            "fax_number": "818-843-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABIHIAN",
        "first_name": "AIDA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "PA62411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AIDA",
            "last_name": "KESHAVARZ RAHBAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.