Mehrdad Jafarian

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

48171 Issued in CA

Practice address

30837 E Thousand Oaks Blvd
Westlake Village, CA 91362-4039

Phone

(818) 879-2091

NPI assigned

Jul 12, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: michael@atheticpt.com

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

• Aj Physical Therapy Inc

  • Orthopedic Physical Therapist
  • Encino, CA
  • NPI 1518025931
  NPD (past)

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1881328243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 PLATT AVE",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913073219",
            "telephone_number": "310-598-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30837 E THOUSAND OAKS BLVD",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624039",
            "telephone_number": "818-879-2091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFARIAN",
        "first_name": "MEHRDAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "48171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael@atheticPT.com",
            "affiliation": "N",
            "address_1": "30837 E Thousand Oaks Blvd",
            "city": "Westlake Village",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913624039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charleston R Jackson
• Lenore Alice Jacobs-Caffey, PHD
• Jacqueline Jacobson, PHARM D
• Danielle Jacoby, M.A, LMFT
• Briana Jacquet-James, LCSW
• James E Landen MD Inc.
• Jamie Cohen, O.D., Inc
• Kevin Liyen Jan, BS, DMD
• Doreen Louise Jansen, MA
• Sadie Mae Wehn Janssens, MFT,PH.D.

• Physical Therapy Assistant in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.