DR. ALEXANDER GHATAN (NPI# 1265816680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265816680 |
| Entity Type | Individual |
| Full Name | DR. ALEXANDER GHATAN |
| Credential | DO |
| Practice Address |
16952 Ventura Blvd Encino CA 91316-4197 |
| Practice Telephone | 8182905949 |
| Practice Fax Number | 8888855414 |
| Mailing Telephone | 8182905949 |
| Mailing Fax Number | 8888855414 |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2020-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 20A15278 | CA | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
20A15278 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 W. Carson St. Box 461, Harbor-ucla Medical Center, Torrance, CA 90509 | 3102222700 |
| Street Address |
16952 VENTURA BLVD |
| City | ENCINO |
| State | CA |
| Zip Code | 91316-4197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558367649 | Shiraz Medical Group, Inc | Internal Medicine | 16952 Ventura Blvd, Ste 100, Encino, CA 91316-4124 | 2005-06-22 |
| 1831717768 | Alexander Ghatan, Do, Inc. | Physical Medicine & Rehabilitation | 16952 Ventura Blvd, Encino, CA 91316-4197 | 2020-07-07 |
| 1437700465 | Advanced Pain Center, Inc. | Clinic/Center | 16952 Ventura Blvd, Encino, CA 91316-4197 | 2019-09-20 |
| 1548570054 | Shiraz Medical Group, Inc | Non-Pharmacy Dispensing Site | 16952 Ventura Blvd, Encino, CA 91316-4197 | 2010-10-18 |
| 1861701021 | Keyvan Shirazi, Md | Non-Pharmacy Dispensing Site | 16952 Ventura Blvd, Suite 100, Encino, CA 91316-4197 | 2010-10-05 |
| 1477862985 | Keyvan Shirazi, Md | Non-Pharmacy Dispensing Site | 16952 Ventura Blvd, Suite 100, Encino, CA 91316-4197 | 2010-09-30 |
| 1598927501 | Bijan Hoorfar | Physician Assistant | 16952 Ventura Blvd, Encino, CA 91316-4197 | 2008-06-30 |
| 1710144365 | Plaza Pharmacy Inc | Pharmacy | 16952 Ventura Blvd, Ste 100, Encino, CA 91316-4197 | 2008-05-21 |
| 1548434293 | Sam Sanandaji, Dpm, Inc. | Podiatrist | 16952 Ventura Blvd, Suite # 100, Encino, CA 91316-4197 | 2008-04-14 |
| 1679743462 | Encino-tarzana Urgent Care Center, Inc. | Internal Medicine | 16952 Ventura Blvd, Encino, CA 91316-4197 | 2008-03-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548883341 | Kerry Ann Mclean | Marriage & Family Therapist | 1777 Ventura Blvd Unit 103, Encino, CA 91316 | 2020-05-27 |
| 1336793124 | Achieve Speech Associates, Inc. | Clinic/Center | 17605 Ventura Boulevard, #302, Encino, CA 91316 | 2019-07-30 |
| 1053978312 | Somnia Sleep Science & Treatment Center | Clinic/Center | 5435 Balboa Blvd Suite 100, Encino, CA 91316 | 2019-05-22 |
| 1437634466 | New Spirit Recovery, LLC | Substance Abuse Rehabilitation Facility | 17856 Cathedral Pl., Encino, CA 91316 | 2018-09-25 |
| 1649762014 | Hashemi Ophthalmology, PC | Ophthalmology | 5353 Balboa Blvd Ste 110, Encino, CA 91316 | 2018-06-01 |
| 1932614310 | Hannah Esther Weinsrein | Marriage & Family Therapist | 17337 Ventura Blvd., Sutie #317, Encino, CA 91316 | 2017-12-07 |
| 1881118560 | Paula Miley | Marriage & Family Therapist | 5535 Balboa Blvd #202, Encino, CA 91316 | 2017-08-03 |
| 1477088193 | Rachela Conti | Psychologist | 5400 Balboa Blvd. #311, Encino, CA 91316 | 2017-05-01 |
| 1962857235 | Jessica Shlager | Occupational Therapist | 6345 Balboa Boulevard Suite 120, Encino, CA 91316 | 2016-04-25 |
| 1720432800 | Canyon West Los Angeles LLC | Clinic/Center | 17167 W. Ventura Boulevard, Encino, CA 91316 | 2016-04-14 |
| Find all providers in zip 91316 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972762227 | Joseph M Hadi | Physical Medicine & Rehabilitation | 5400 Balboa Blvd Ste 301, Encino, CA 91316-1530 | 2008-06-03 |
| 1831717768 | Alexander Ghatan, Do, Inc. | Physical Medicine & Rehabilitation | 16952 Ventura Blvd, Encino, CA 91316-4197 | 2020-07-07 |
| 1992358444 | Joseph Hadi Md PC | Physical Medicine & Rehabilitation | 5400 Balboa Blvd Ste 301, Encino, CA 91316-1530 | 2019-07-23 |
| 1710176094 | Payam Vahedifar Md Inc | Physical Medicine & Rehabilitation | 16633 Ventura Blvd, Suite 802, Encino, CA 91436-1824 | 2007-10-23 |
| 1861473464 | Payam Vahedifar | Physical Medicine & Rehabilitation | 16311 Ventura Blvd, Suite 800, Encino, CA 91436-2124 | 2005-11-10 |
| 1669470068 | Pejman Eli Shirazy | Physical Medicine & Rehabilitation | 16952 Ventura Blvd, Encino, CA 91316-4197 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295608 | San Diego Comprehensive Pain Management Center, Inc | Physical Medicine & Rehabilitation | 1575 W Main St, El Centro, CA 92243-2211 | 2020-11-06 |
| 1760013536 | Aveva Medical Aesthetics Inc. | Physical Medicine & Rehabilitation | 4702 W 1st St Ste C, Santa Ana, CA 92703-3100 | 2020-01-30 |
| 1902445620 | Irina L Melnik, Md Professional Corporation | Physical Medicine & Rehabilitation | 655 Redwood Hwy Frontage Rd Ste 203, Mill Valley, CA 94941-3025 | 2019-12-27 |
| 1124669544 | Algos Inc., A Medical Corporation | Physical Medicine & Rehabilitation | 26357 Mcbean Pkwy Ste 210, Santa Clarita, CA 91355-4497 | 2019-10-07 |
| 1174084578 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 802 Iowa Ave, Los Banos, CA 93635-3450 | 2019-03-28 |
| 1083175483 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 777 S Ham Ln Ste G, Lodi, CA 95242-3593 | 2019-03-28 |
| 1679031611 | Jesus H. Lao Md Inc | Physical Medicine & Rehabilitation | 6699 Alvarado Rd Ste 2304, San Diego, CA 92120-5241 | 2019-03-08 |
| 1316404262 | Advanced Pain Diagnostic & Solutions, Inc. | Physical Medicine & Rehabilitation | 1921 Sycamore Ln, Davis, CA 95616-0844 | 2019-02-27 |
| 1689157059 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 801 E Chapel St Ste 6, Santa Maria, CA 93454-4607 | 2018-09-12 |
| 1588147094 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 803 Coffee Rd Ste 11, Modesto, CA 95355-4244 | 2018-09-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.