DR. MITRA TAHVILDARIAN PH.D., AGNP, CFMP
NPI 1730546581
Nurse Practitioner - Gerontology in Encino, CA

Active since January 25, 2016
15840 VENTURA BLVD, 301, ENCINO, CA 91436(818) 917-2371 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 8, 2021, Jun 10, 2020, Oct 31, 2017 and 2 more (5 updates tracked since 2016).

About Dr. Mitra Tahvildarian Ph.d., Agnp, Cfmp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MITRA TAHVILDARIAN PH.D., AGNP, CFMP (NPI 1730546581) is an individual gerontology provider in Encino, California, licensed in California (95003672) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1730546581
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameDR. MITRA TAHVILDARIANCredential: PH.D., AGNP, CFMP
Location Address15840 VENTURA BLVD, 301Encino, CA 91436-2932
Mailing Address15840 Ventura Blvd Ste 301Encino, CA 91436-2932 · (818) 917-2371
Sole ProprietorYes
Enumeration DateJanuary 25, 2016
Last NPPES UpdateMarch 8, 20215 updates tracked since enumeration
NPPES CertifiedJuly 29, 2020
NPI 1730546581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in CA · 95003672
15840 VENTURA BLVD, Encino, CA 91436

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
15840 VENTURA BLVD, SUITE 211
ENCINO, CA 91436
Chiropractor
15840 VENTURA BLVD, SUITE 106
ENCINO, CA 91436
Dentist
15840 VENTURA BLVD, SUITE 106
ENCINO, CA 91436
Home Health
15840 VENTURA BLVD, SUITE 209
ENCINO, CA 91436
Home Health
15840 VENTURA BLVD
ENCINO, CA 91436
Chiropractor
15840 VENTURA BLVD, SUITE # 302
ENCINO, CA 91436
Psychiatry & Neurology (Psychiatry)
15840 VENTURA BLVD, SUITE 301
ENCINO, CA 91436

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mitra Tahvildarian's NPI number?

The NPI number for Mitra Tahvildarian is 1730546581. It was assigned to this individual provider in the NPPES registry on January 25, 2016.

Where is Mitra Tahvildarian located?

Mitra Tahvildarian practices at 15840 Ventura Blvd 301, Encino, CA 91436. The listed phone number is (818) 917-2371.

What is Mitra Tahvildarian's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Mitra Tahvildarian was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.