Mahyar Okhovat, M.D. Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

A85646 Issued in CA

Legal business name

MAHYAR OKHOVAT, M.D. INC

Practice address

2925 Canwood St
109
Agoural Hills, CA 91301

Phone

(818) 590-4445

Fax

(949) 861-6592

NPI assigned

Jul 30, 2015

Organization subpart

No

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

Authorized official

Name

Mahyar Okhovat, MDNPI 1215953476

Title

President

Phone

(818) 590-4445

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mahyar Okhovat, MD

  • Neurology Physician
  • Los Angeles, CA
  • NPI 1215953476
  Medicare reassignment NPD Authorized official
• Elisabeth Renee Bertoline, PA-C

  • Physician Assistant
  • Oxnard, CA
  • NPI 1760636252
  NPD (past)
• Shariar Cohen-Gadol, M.D.

  • Rheumatology Physician
  • Thousand Oaks, CA
  • NPI 1013054865
  NPD (past)
• Robert Emmett Henry III, M.D., M.S.

  • Physical Medicine & Rehabilitation Physician
  • Thousand Oaks, CA
  • NPI 1306970900
  NPD (past)
• Aelita Khachatrian, MD

  • Rheumatology Physician
  • Thousand Oaks, CA
  • NPI 1306137476
  NPD (past)
• Elvira Alexandrovna Lindwall, M.D.

  • Rheumatology Physician
  • Thousand Oaks, CA
  • NPI 1881890713
  NPD (past)
• Anthony Miller Jr., FNP-C

  • Family Nurse Practitioner
  • West Hills, CA
  • NPI 1730964032
  NPD (past)
• Annie Nguyen, PA-C

  • Physician Assistant
  • Santa Barbara, CA
  • NPI 1942772355
  NPD (past)
• April Wyatt, FNP-C

  • Primary Care Nurse Practitioner
  • Augusta, GA
  • NPI 1477986248
  NPD (past)

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1922484054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3436 ALANA DR",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914034703",
            "telephone_number": "818-590-4445",
            "fax_number": "949-861-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 CANWOOD ST",
            "address_2": "109",
            "city": "AGOURAL HILLS",
            "state": "CA",
            "postal_code": "91301",
            "telephone_number": "818-590-4445",
            "fax_number": "949-861-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHYAR OKHOVAT, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "OKHOVAT",
        "authorized_official_first_name": "MAHYAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-590-4445",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A85646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.

Verify at the official NPI Registry.