Active NPI
Parviz Akhavan DO a Medical Corp
- Primary Care Clinic/Center
- Los Angeles, CA
National Provider Identifier
1053725317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 20A7522
- 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 CORP
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DO769A | Other | CA | PTAN(S) |
Other names 1
- Neighborehood Medical Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
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.
-
- General Practice Physician
- Los Angeles, CA
- NPI 1235286436
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.