Individual provider Active NPI

Nadia Basharkhah, M.D

  • Anesthesiology Physician
  • Calabasas, CA
National Provider Identifier
1962747873
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A119798 Issued in CA
Practice address
22515 Paul Revere Dr
Calabasas, CA 91302
Phone
(818) 201-8470
Fax
(818) 222-6485
NPI assigned
Dec 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A119798 CA Primary

Addresses

Primary practice location

22515 Paul Revere Dr
Calabasas, CA 91302

Mailing address

22515 Paul Revere Dr
Calabasas, CA 91302-5111
Phone (818) 201-8470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130717000733 CA Practitioner - Anesthesiology 3274773148 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Anesthesia Physicians Medical Group IncGroup PAC ID 2961824891, 17 clinicians
Alleviate Medical Associates IncGroup PAC ID 8820455884, 2 clinicians

Practice addresses (Care Compare)

18300 Roscoe Blvd
Northridge, CA 91325-4105
Phone (818) 885-8500

Hospital & facility affiliations

  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A119798CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Anesthesia Physicians Medical Group, Inc Anesthesiology CurrentSince Mar 1, 2021 Accepting new patients
N Basharkhah Medical Inc Anesthesiology CurrentSince Aug 8, 2017 Accepting new patients
Alleviate Medical Associates Inc. CurrentSince Apr 14, 2024 Accepting new patients

Locations

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

18300 Roscoe Blvd
Northridge, CA 91325
Phone (818) 885-5331

19528 Ventura Blvd
Tarzana, CA 91356
Phone (818) 261-4995

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1962747873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22515 PAUL REVERE DR",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913025111",
            "telephone_number": "818-201-8470",
            "fax_number": "818-222-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22515 PAUL REVERE DR",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "91302",
            "telephone_number": "818-201-8470",
            "fax_number": "818-222-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHARKHAH",
        "first_name": "NADIA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A119798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

Verify at the official NPI Registry.