Organization Active NPI

Rostam Khoubyari, M.D., Inc.

  • Cardiovascular Disease Physician
  • Los Angeles, CA
National Provider Identifier
1073293056
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ROSTAM KHOUBYARI, M.D., INC.
Practice address
711 W College St Ste 540
Los Angeles, CA 90012-1246
Phone
(213) 673-1880
NPI assigned
Jul 24, 2023
Last updated
Jul 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Dr. Rostam Khoubyari, MD
Title
Ceo
Phone
(408) 373-7040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

711 W College St Ste 540
Los Angeles, CA 90012-1246

Mailing address

15642 Sand Canyon Ave Unit 53665
Irvine, CA 92619-5423

National Provider Directory

National Provider Directory

Locations

15642 Sand Canyon Ave
Unit 53665
Irvine, CA 92619

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1073293056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15642 SAND CANYON AVE UNIT 53665",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926195423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W COLLEGE ST STE 540",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121246",
            "telephone_number": "213-673-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSTAM KHOUBYARI, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "KHOUBYARI",
        "authorized_official_first_name": "ROSTAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-373-7040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.