NPIMap

Individual provider Active NPI

Navid Jason Pour-Ghasemi, M.D.

  • Infectious Disease Physician
  • Los Angeles, CA
National Provider Identifier
1053798173
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
53940 Issued in KY
Practice address
1200 N State St
CT- A7D,
Los Angeles, CA 90033-1029
Phone
(323) 226-7556
Fax
(323) 226-2657
NPI assigned
Apr 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA
Infectious Disease Physician 207RI0200X 53940 KY Primary

Addresses

Primary practice location

1200 N State St
CT- A7D,
Los Angeles, CA 90033-1029

Mailing address

1200 N State St
CT- A7D,
Los Angeles, CA 90033-1029
Phone (323) 226-7556

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address npourghasemi193356@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200916002974 KY Practitioner - Infectious DiseasePractitioner - Internal Medicine 0749608123 Reassigns benefits to 1 organization
I20220322000963 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 0749608123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
University of Southern California Keck School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Care Id Medical GroupGroup PAC ID 5395725998, 4 clinicians

Practice addresses (Care Compare)

8635 W 3Rd St
Suite 1185
Los Angeles, CA 90048-6104
Phone (310) 855-1960

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.02 of 100Reported as group
Quality
78.33
Promoting interoperability
99
Improvement activities
40
Cost
82.57

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Comprehensive Care Id Medical Group Infectious Disease CurrentSince Feb 1, 2022 Accepting new patients
Community Medical Associates, Inc. Infectious Disease CurrentSince Sep 1, 2020 Accepting new patients
Community Medical Associates, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Los Angeles County Past Accepting new patients

Locations

8635 W 3rd St
Ste 1185
Los Angeles, CA 90048
Phone (310) 855-1960

234 E Gray St
Ste 768
Louisville, KY 40202
Phone (502) 394-6470

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

Interoperability endpoints

  • Direct secure messaging: npour227073@direct.cshs.org

Organizations & group practices 5

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": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1053798173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST",
            "address_2": "CT- A7D,",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331029",
            "telephone_number": "323-226-7556",
            "fax_number": "323-226-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST",
            "address_2": "CT- A7D,",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331029",
            "telephone_number": "323-226-7556",
            "fax_number": "323-226-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUR-GHASEMI",
        "first_name": "NAVID",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "KY",
            "license": "53940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "npourghasemi193356@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "234 E Gray St Ste 768",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "234 E Gray St Ste 768",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.