Individual provider Active NPI

Shahriar Safvati, M.D.

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1013039577
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A88634 Issued in CA
Practice address
822 S Robertson Blvd Ste 350
Los Angeles, CA 90035
Phone
(310) 659-0666
Fax
(310) 659-8754
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A88634 CA Primary

Addresses

Primary practice location

822 S Robertson Blvd Ste 350
Los Angeles, CA 90035

Mailing address

822 S Robertson Blvd Ste 350
Los Angeles, CA 90035-1632
Phone (310) 659-0666

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
I20050517000581 CA Practitioner - Family Practice 1759322027 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

822 S Robertson Blvd
Suite 350
Los Angeles, CA 90035-1632
Phone (310) 659-0666

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A88634CAMDSpecialist
88634CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tarzana Medical Center LLC Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Safvati Beverly Hills Medical Corporation Past Accepting new patients
Kamran Safvati, M.D., Inc. Single Specialty Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1013039577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 S ROBERTSON BLVD STE 350",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351632",
            "telephone_number": "310-659-0666",
            "fax_number": "310-659-8754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S ROBERTSON BLVD STE 350",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90035",
            "telephone_number": "310-659-0666",
            "fax_number": "310-659-8754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFVATI",
        "first_name": "SHAHRIAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A88634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.