Organization Active NPI

Nastaran Rafiei, M.D. Inc

  • Neurology Physician
  • Encino, CA
National Provider Identifier
1922423516
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A100901 Issued in CA
Legal business name
NASTARAN RAFIEI, M.D. INC
Practice address
16311 Ventura Blvd Ste 680
Encino, CA 91436-4321
Phone
(818) 268-8410
NPI assigned
Feb 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Authorized official

Name
Mrs. Nastaran Rafiei, M.D.
Title
President
Phone
(310) 717-2829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X A100901 CA Primary

Addresses

Primary practice location

16311 Ventura Blvd Ste 680
Encino, CA 91436-4321

Mailing address

PO Box 8956
Calabasas, CA 91372-8956

Other identifiers 1

IdentifierTypeStateIssuer
A100901OtherCACALIFORNIA LICENSE

National Provider Directory

National Provider Directory

Locations

16311 Ventura Blvd
Ste 680
Encino, CA 91436
Phone (310) 246-0702

NPI Registry JSON

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1922423516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8956",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913728956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD STE 680",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364321",
            "telephone_number": "818-268-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASTARAN RAFIEI, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "RAFIEI",
        "authorized_official_first_name": "NASTARAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-717-2829",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A100901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE",
            "identifier": "A100901",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.