NPIMap

Individual provider Active NPI

Ramin Javahery, MD

  • Neurological Surgery Physician
  • Long Beach, CA
National Provider Identifier
1063562239
Registry record updated May 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A68653 Issued in CA
Practice address
2888 Long Beach Blvd Ste 240
Long Beach, CA 90806-1570
Phone
(562) 595-7696
Fax
(562) 490-3846
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X A68653 CA Primary

Addresses

Primary practice location

2888 Long Beach Blvd Ste 240
Long Beach, CA 90806-1570

Mailing address

2888 Long Beach Blvd Ste 240
Long Beach, CA 90806-1570
Phone (562) 595-7696

Other identifiers 1

IdentifierTypeStateIssuer
A68653OtherCAMEDICAL LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050720001162 CA Practitioner - Neurosurgery 3375570328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Southern California Keck School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coast Neurosurgical Associates a Medical GroupGroup PAC ID 2567471022, 5 clinicians

Practice addresses (Care Compare)

2888 Long Beach Blvd
Suite 240
Long Beach, CA 90806-1570
Phone (562) 595-7696

Hospital & facility affiliations

  • Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Uci Health-Lakewood Hospital, Lakewood, CA, CCN 050581
  • Memorialcare Orange Coast Medical Center Hospital, Fountain Valley, CA, CCN 050678

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion71
Laminectomy or laminotomy (partial removal of spine bones)24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A68653CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Neurosurgical Associates a Medical Group Neurological Surgery CurrentSince Mar 1, 2007 Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

2888 Long Beach Blvd
Ste 240
Long Beach, CA 90806
Phone (562) 595-7696

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 5

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306108800000",
    "number": "1063562239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2888 LONG BEACH BLVD STE 240",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061570",
            "telephone_number": "562-595-7696",
            "fax_number": "562-490-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 LONG BEACH BLVD STE 240",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061570",
            "telephone_number": "562-595-7696",
            "fax_number": "562-490-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVAHERY",
        "first_name": "RAMIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2011-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A68653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A68653",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.