Organization Active NPI

California Vascular & Interventional PC.

  • Vascular & Interventional Radiology Physician
  • Beverly Hills, CA
National Provider Identifier
1053975847
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
CALIFORNIA VASCULAR & INTERVENTIONAL PC.
Practice address
145 N Robertson Blvd
Beverly Hills, CA 90211-2103
Phone
(310) 409-4114
Fax
(213) 800-0806
NPI assigned
Apr 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Authorized official

Name
Atabak Allaei, MDNPI 1720390420
Title
Owner
Phone
(310) 409-4114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0204X Primary

Addresses

Primary practice location

145 N Robertson Blvd
Beverly Hills, CA 90211-2103

Mailing address

8549 Wilshire Blvd # 14157
Beverly Hills, CA 90211-3104
Phone (323) 546-7993

Other practice location 1

27699 Jefferson Ave Ste 305
Temecula, CA 92590-2615
Phone (323) 546-7993

Other practice location 2

255 E Bonita Ave # 201
Pomona, CA 91767-1923
Phone (323) 546-7993

Other practice location 3

26081 Merit Cir
Laguna Hills, CA 92653-7017
Phone (323) 546-7993

Other practice location 4

7634 Girard Ave
LA Jolla, CA 92037-4420
Phone (323) 546-7993

Other practice location 5

133 N Praire Ave
Ste C
Inglewood, CA 90301
Phone (323) 546-7993

Other practice location 6

8500 Wilshire Blvd Ste 518
Beverly Hills, CA 90211-3111
Phone (310) 409-4114

Other names 1

  • California Vascular & Interventional Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191007002926 CA Part B Supplier - Clinic/Group Practice 0143551028 Receives reassigned benefits from 1 practitioner
Practice locations: Beverly Hills, CA; Pomona, CA; Los Alamitos, CA; Long Beach, CA; Laguna Hills, CA; La Jolla, CA

National Provider Directory

National Provider Directory

Locations

133 N Prairie Ave
Ste C
Inglewood, CA 90301

26081 Merit Cir
Laguna Hills, CA 92653
Phone (949) 367-0310

5437 South St
#14157
Lakewood, CA 90712

255 E Bonita Ave
#201
Pomona, CA 91767

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19404/brand/1/csg/1/fhir/r4

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": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1053975847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8549 WILSHIRE BLVD # 14157",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113104",
            "telephone_number": "323-546-7993",
            "fax_number": "213-800-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 N ROBERTSON BLVD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112103",
            "telephone_number": "310-409-4114",
            "fax_number": "213-800-0806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27699 Jefferson Ave Ste 305",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925902615",
            "country_code": "US",
            "telephone_number": "323-546-7993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 E Bonita Ave # 201",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917671923",
            "country_code": "US",
            "telephone_number": "323-546-7993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26081 Merit Cir",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926537017",
            "country_code": "US",
            "telephone_number": "323-546-7993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7634 Girard Ave",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920374420",
            "country_code": "US",
            "telephone_number": "323-546-7993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "133 N Praire Ave",
            "address_2": "Ste C",
            "address_purpose": "LOCATION",
            "city": "Inglewood",
            "state": "CA",
            "postal_code": "90301",
            "country_code": "US",
            "telephone_number": "323-546-7993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8500 Wilshire Blvd Ste 518",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902113111",
            "country_code": "US",
            "telephone_number": "310-409-4114",
            "fax_number": "855-853-7268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CALIFORNIA VASCULAR & INTERVENTIONAL PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-26",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "ALLAEI",
        "authorized_official_first_name": "ATABAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-409-4114",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Vascular & Interventional",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.