Organization Active NPI

Parviz Akhavan DO a Medical Corp

  • Primary Care Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1053725317
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
20A7522 Issued in CA
Legal business name
PARVIZ AKHAVAN DO A MEDICAL CORP
Practice address
723 E Manchester Ave
Los Angeles, CA 90001-3632
Phone
(323) 750-2325
NPI assigned
Jun 16, 2014
Organization subpart
Yes
Parent organization
PARVIZ AKHAVAN DO A MEDICAL CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Dr. Prviz Akhavan, D.O.
Title
Owner
Phone
(323) 750-2325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 20A7522 CA Primary

Addresses

Primary practice location

723 E Manchester Ave
Los Angeles, CA 90001-3632

Mailing address

723 E Manchester Ave
Los Angeles, CA 90001-3632
Phone (323) 750-2325

Other identifiers 1

IdentifierTypeStateIssuer
DO769AOtherCAPTAN(S)

Other names 1

  • Neighborehood Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220804003525 CA Part B Supplier - Clinic/Group Practice 9931327558 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory
Part of
Parviz Akhavan DO a Medical Corp

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1053725317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 E MANCHESTER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900013632",
            "telephone_number": "323-750-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 E MANCHESTER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900013632",
            "telephone_number": "323-750-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARVIZ AKHAVAN DO A MEDICAL CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARVIZ AKHAVAN DO A MEDICAL CORP",
        "enumeration_date": "2014-06-16",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "AKHAVAN",
        "authorized_official_first_name": "PRVIZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-750-2325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "20A7522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN(S)",
            "identifier": "DO769A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neighborehood Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.