Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mitra Tahvildarian, PHD, AGNP, CFMP

Individual provider Gerontology Nurse Practitioner · NPI 1730546581

Dr. Mitra Tahvildarian, PHD, AGNP, CFMP is a Gerontology Nurse Practitioner in Encino, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

See every abbreviation used in this directory →

Practice location Address checks out

15840 Ventura Blvd 301
Encino, CA 91436-2932
Phone: (818) 917-2371
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 95003672 (CA)

Record details

NPI number1730546581
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , AGNP , CFMP
Sole proprietorYes
NPI enumeratedJanuary 25, 2016
Last updated in NPPESMarch 8, 2021
Certification dateJuly 29, 2020

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