Edwin Safaeipour, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA59349 Issued in CA

Practice address

1060 S Sherbourne Dr Apt 202
Los Angeles, CA 90035-2367

Phone

(310) 717-3712

NPI assigned

Jul 9, 2020

Sex

Male

Sole proprietor

No

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

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.

• Pejman Samouha M.D. Inc

  • Specialist
  • Los Angeles, CA
  • NPI 1194090688
  Medicare reassignment

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1891313441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 S SHERBOURNE DR APT 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352367",
            "telephone_number": "310-717-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 S SHERBOURNE DR APT 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352367",
            "telephone_number": "310-717-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFAEIPOUR",
        "first_name": "EDWIN",
        "name_prefix": "Mr.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-09",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA59349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassem Safa, MD
• Sepehr Safadar
• Sama Safadi, RDN
• Michael Meier Safaee, MD
• Haniyeh Safaei
• Mohsen Safaie
• Safar Mansoor
• Ariel Safaradi
• Dalia Safaradi
• Sara Safari, MD

• Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.