Active NPI
N Basharkhah Medical Inc
- Anesthesiology Physician
- Northridge, CA
National Provider Identifier
1871014365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A119798
- Legal business name
- N BASHARKHAH MEDICAL INC
- Practice address
- 18300 Roscoe Blvd
Northridge, CA 91325-4105 - Phone
- (818) 888-7815
- Fax
- (818) 715-1722
- NPI assigned
- Jul 5, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nadia Basharkhah, MD
- Title
- Sole Owner
- Phone
- (818) 201-8470
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A119798 | CA | Primary |
Addresses
Primary practice location
18300 Roscoe Blvd
Northridge, CA 91325-4105
Mailing address
PO Box 7001
Tarzana, CA 91357-7001
Phone (818) 888-7815
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171017003098 | CA | Part B Supplier - Clinic/Group Practice | 6406122514 |
Receives reassigned benefits from 1 practitioner Practice locations: Encino, CA; Northridge, CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1506470400000",
"number": "1871014365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7001",
"city": "TARZANA",
"state": "CA",
"postal_code": "913577001",
"telephone_number": "818-888-7815",
"fax_number": "818-715-1722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18300 ROSCOE BLVD",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913254105",
"telephone_number": "818-888-7815",
"fax_number": "818-715-1722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "N BASHARKHAH MEDICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-05",
"last_updated": "2017-09-27",
"status": "A",
"authorized_official_last_name": "BASHARKHAH",
"authorized_official_first_name": "NADIA",
"authorized_official_title_or_position": "SOLE OWNER",
"authorized_official_telephone_number": "818-201-8470",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": "A119798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.