Individual provider Active NPI

Babak Alavynejad, DPM

  • Foot & Ankle Surgery Podiatrist
  • West Covina, CA
National Provider Identifier
1003984436
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E3996 Issued in CA
Practice address
741 S Orange Ave
West Covina, CA 91790-2662
Phone
(626) 338-1800
NPI assigned
Dec 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E3996 CA Primary

Addresses

Primary practice location

741 S Orange Ave
West Covina, CA 91790-2662

Mailing address

269 S Beverly Dr # 668
Beverly Hills, CA 90212-3851
Phone (626) 338-1800

Other identifiers 1

IdentifierTypeStateIssuer
000E39961MedicaidCA

Other names 1

  • Bob Alavy Other name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101230000928 CA Practitioner - Podiatry 3678761954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3996CAMDFoot & Ankle Surgery Podiatrist
3996CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Bob Alavy DPM Inc Foot & Ankle Surgery CurrentSince Aug 19, 2010 Accepting new patients
Hanna Pain Relief Clinics PMC Foot & Ankle Surgery Past Accepting new patients
Israel P Chambi M D & Medical Associates Inc PastSince Feb 21, 2010 Accepting new patients

Locations

269 S Beverly Dr
Beverly Hills, CA 90212
Phone (424) 254-9622

741 S Orange Ave
West Covina, CA 91790
Phone (626) 221-1392

725 S Orange Ave
West Covina, CA 91790
Phone (626) 338-1800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: babak.alavynejad@3856.securemail.prognocis.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1003984436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 S BEVERLY DR # 668",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123851",
            "telephone_number": "626-338-1800",
            "fax_number": "626-338-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 S ORANGE AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902662",
            "telephone_number": "626-338-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAVYNEJAD",
        "first_name": "BABAK",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-02",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E39961",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOB",
            "last_name": "ALAVY",
            "credential": "DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.