PAYAM VAHEDIFAR MD INC (NPI# 1710176094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710176094 |
| Entity Type | Organization |
| Organization Name | PAYAM VAHEDIFAR MD INC |
| Practice Address |
16633 Ventura Blvd Suite 802 Encino CA 91436-1824 |
| Practice Telephone | 8189860200 |
| Practice Fax Number | 8189864393 |
| Mailing Telephone | 8189860200 |
| Mailing Fax Number | 8189864393 |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2017-04-11 |
| Authorized Official Name | DR. PAYAM VAHEDIFAR (PHYSICIAN & OWNER) |
| Authorized Official Telephone | 3107955645 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
A63617 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIDUAL NPI | 1861473464 | 01 |
| Street Address |
16633 VENTURA BLVD SUITE 802 |
| City | ENCINO |
| State | CA |
| Zip Code | 91436-1824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831292275 | Stephen D Bresnick | Plastic Surgery | 16633 Ventura Blvd, Suite 110, Encino, CA 91436-1801 | 2006-09-07 |
| 1285160671 | Yuri Rassovsky | Psychologist | 16633 Ventura Blvd, Suite 700, Encino, CA 91436-1801 | 2017-05-04 |
| 1730453317 | George H. Sanders | Plastic Surgery | 16633 Ventura Blvd, 110, Encino, CA 91436-1801 | 2012-02-29 |
| 1447551312 | Stephen Bresnick, M.d., Inc. | Specialist | 16633 Ventura Blvd, Suite 110, Encino, CA 91436-1801 | 2010-11-09 |
| 1134456841 | Svr Imaging LLC | Radiology | 16633 Ventura Blvd, Suite 120, Encino, CA 91436-1801 | 2009-11-17 |
| 1891812012 | Firouzeh Banki | Dentist | 16633 Ventura Blvd, Suite 850, Encino, CA 91436-1801 | 2007-03-23 |
| 1093895914 | Sandra Lee Wilder-padilla | Psychologist | 16633 Ventura Blvd, Suite 1212, Encino, CA 91436-1801 | 2006-10-16 |
| 1548350366 | George H Sanders | Plastic Surgery | 16633 Ventura Blvd, #110, Encino, CA 91426 | 2006-10-13 |
| 1780787218 | Encino Surgicenter A Medical Group | Clinic/Center | 16633 Ventura Blvd, Ste 110, Encino, CA 91436 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405014 | Find Your Balance, Center for Growth & Change Inc. | Marriage & Family Therapist | 15720 Ventura Blvd Suite 603, Encino, CA 91436 | 2020-07-24 |
| 1396214482 | Maria Guadalupe Cruz | Behavior Technician | 16500 Ventura Blvd # 414, Encino, CA 91436 | 2018-11-19 |
| 1699277186 | Rodolfo Alavez Jimenez | Behavior Technician | 16500 Ventura Blvd., Suite 414, Encino, CA 91436 | 2018-03-01 |
| 1750891503 | Robert James Kim-farley | Preventive Medicine | 4037 Rogen Drive, Encino, CA 91436 | 2017-10-06 |
| 1528577871 | Julia Szpakiewicz | Marriage & Family Therapist | 16550 Ventura Blvd 318, Encino, CA 91436 | 2017-09-28 |
| 1457875452 | Jeffrey Proniloff | Dentist | 16680 Ashley Oaks, Encino, CA 91436 | 2017-08-01 |
| 1114449592 | Loren Lizeth Huerta | Specialist/Technologist | 16500 Ventura Blvd #414, Encino, CA 91436 | 2017-07-07 |
| 1538619838 | Gilbert Torres Jr. | Physical Therapist | 16260 Ventura Blvd # 600, Encino Medical Tower, Encino, CA 91436 | 2016-10-11 |
| 1417313529 | Nancy L Reynolds | Marriage & Family Therapist | 16055 Ventura Blvd #409, Encino, CA 91436 | 2016-01-05 |
| 1457716748 | Salvador Salgado | Behavioral Analyst | 16500 Ventura Blvd. Suite 414, Encino, CA 91436 | 2015-12-31 |
| Find all providers in zip 91436 | ||||
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.