Organization Active NPI

Kamran Safvati, M.D., Inc.

  • Internal Medicine Physician
  • Tarzana, CA
National Provider Identifier
1942364369
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
W16068 Issued in CA
Legal business name
KAMRAN SAFVATI, M.D., INC.
Practice address
18356 Clark St
Suite 101
Tarzana, CA 91356-3502
Phone
(818) 609-1991
Fax
(818) 609-1949
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

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

Authorized official

Name
Dr. Kamran Safvati, M.D.NPI 1497782387
Title
Owner
Phone
(818) 609-1991

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X W16068 CA Primary

Addresses

Primary practice location

18356 Clark St
Suite 101
Tarzana, CA 91356-3502

Mailing address

PO Box 573219
Tarzana, CA 91357-3219
Phone (818) 609-1991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040624000874 CA Part B Supplier - Clinic/Group Practice 7012993868 Receives reassigned benefits from 3 practitioners
Practice locations: Tarzana, CA

National Provider Directory

National Provider Directory

Locations

1030 S Glendale Ave
Ste 504
Glendale, CA 91205
Phone (818) 240-7673

18356 Clark St
Ste 113
Tarzana, CA 91356

18384 Clark St
Ste 113
Tarzana, CA 91356
Phone (818) 609-1991

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1942364369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 573219",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913573219",
            "telephone_number": "818-609-1991",
            "fax_number": "818-609-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18356 CLARK ST",
            "address_2": "SUITE 101",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563502",
            "telephone_number": "818-609-1991",
            "fax_number": "818-609-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMRAN SAFVATI, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "SAFVATI",
        "authorized_official_first_name": "KAMRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-609-1991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "W16068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.