Individual provider Active NPI

Afshin Akhavan, DO

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1003952797
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A7610 Issued in CA
Practice address
530 E Washington Blvd
Los Angeles, CA 90015-3723
Phone
(213) 747-2626
Fax
(213) 749-7500
NPI assigned
Jan 29, 2007
Last updated
Feb 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A7610 CA Primary
Obstetrics & Gynecology Physician 207V00000X 20A7610 CA
General Practice Physician 208D00000X 20A7610 CA

Addresses

Primary practice location

530 E Washington Blvd
Los Angeles, CA 90015-3723

Mailing address

530 E Washington Blvd
Los Angeles, CA 90015-3723
Phone (213) 747-2626

Other identifiers 1

IdentifierTypeStateIssuer
00AX76100MedicaidCA

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
I20041112000285 CA Practitioner - Family Practice 4385607480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Afshin Akhavan D.O., a Professional CorporationGroup PAC ID 3476516576, 2 clinicians

Practice addresses (Care Compare)

530 E Washington Blvd
Los Angeles, CA 90015-3723
Phone (213) 747-2626

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A7610CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Afshin Akhavan D.O., a Professional Corporation General Practice CurrentSince Oct 1, 2004 Accepting new patients
Dignity Community Care Past Accepting new patients
Good Samaritan Hospital of Suffern Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients

Locations

2409 S Vermont Ave
Los Angeles, CA 90007
Phone (323) 203-1223

3009 S Vermont Ave
Los Angeles, CA 90007
Phone (323) 730-1663

530 E Washington Blvd
Los Angeles, CA 90015
Phone (213) 633-5480

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: aak102pcs@m1764.primeclinicalsystems.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1003952797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 E WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153723",
            "telephone_number": "213-747-2626",
            "fax_number": "213-749-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153723",
            "telephone_number": "213-747-2626",
            "fax_number": "213-749-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKHAVAN",
        "first_name": "AFSHIN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7610",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A7610",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A7610",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX76100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.