Epic Aesthetic Medical Institute Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

20A8083 Issued in CA

Legal business name

EPIC AESTHETIC MEDICAL INSTITUTE INC.

Practice address

11349 Saticoy St
Sun Valley, CA 91352-4700

Phone

(818) 982-5750

Fax

(818) 982-9146

NPI assigned

Oct 22, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jasmin Javaherian, DONPI 1447294715

Title

Owner

Phone

(818) 501-3366

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Jasmin Javaherian, D.O

  • Internal Medicine Physician
  • Encino, CA
  • NPI 1447294715
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1962702167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD",
            "address_2": "SUITE 815",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361914",
            "telephone_number": "818-501-3366",
            "fax_number": "818-906-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11349 SATICOY ST",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913524700",
            "telephone_number": "818-982-5750",
            "fax_number": "818-982-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC AESTHETIC MEDICAL INSTITUTE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "JAVAHERIAN",
        "authorized_official_first_name": "JASMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-501-3366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A8083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Sun Valley, CA
• Providers in Sun Valley, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.