Active NPI
Babak Alavynejad, DPM
- Foot & Ankle Surgery Podiatrist
- West Covina, CA
National Provider Identifier
1003984436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E3996
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E39961 | Medicaid | CA |
Other names 1
- Bob Alavy
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101230000928 | CA | Practitioner - Podiatry | 3678761954 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3996 | CA | MD | Foot & Ankle Surgery Podiatrist |
| 3996 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bob Alavy DPM Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| Hanna Pain Relief Clinics PMC | Foot & Ankle Surgery | Past | Accepting new patients |
| Israel P Chambi M D & Medical Associates Inc | Past | 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
- 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.
-
- Foot & Ankle Surgery Podiatrist
- West Covina, CA
- NPI 1437227873
-
- Surgery of the Hand (Surgery) Physician
- Bakersfield, CA
- NPI 1093304313
Foot & Ankle Surgery
-
- Neurological Surgery Physician
- Santa Ana, CA
- NPI 1336466465
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.