Mehdi Ebrahimi

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AT8324 Issued in CA

Practice address

512 West Stocker Street
#6
Glendale, CA 91202-3523

Phone

(818) 241-9686

NPI assigned

May 3, 2007

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• New Age Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Los Angeles, CA
  • NPI 1588114052

  CA

  Medicare reassignment NPD Authorized official
• Golden Hills Home Health Inc

  • Home Health Agency
  • Los Angeles, CA
  • NPI 1457021735
  NPD Authorized official
• Silver Hills Home Care Inc.

  • In Home Supportive Care Agency
  • Los Angeles, CA
  • NPI 1134848203
  NPD Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1962624601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 W STOCKER ST",
            "address_2": "#6",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023523",
            "telephone_number": "818-241-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 WEST STOCKER STREET",
            "address_2": "#6",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023523",
            "telephone_number": "818-241-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBRAHIMI",
        "first_name": "MEHDI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT8324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Ebanks
• Douglas Ebbink, OPTICIAN
• Anabel Ebrahimi, PHARM.D.
• Anni Ebrahimi
• Kamyar Yehudah Ebrahimi, M.D.
• Roobik Ebrahimi, CDT
• Juliet Ebrahimian
• Mousheg Ebrahimian, PHARM.D.
• Raissa Echavarria, MA, BCBA
• Jonathan Echeverri, PHARMD

• All providers in Glendale, CA
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.