Active NPI
Kian Karimi, MD
- Facial Plastic Surgery Physician
- Los Angeles, CA
National Provider Identifier
1073603262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- A116235
- Practice address
- 11645 Wilshire Blvd Ste 605
Los Angeles, CA 90025-6842 - Phone
- (424) 644-2400
- Fax
- (424) 298-4175
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | ME108935 | FL | |
| Facial Plastic Surgery Physician | 207YS0123X | A116235 | CA | Primary |
Addresses
Primary practice location
11645 Wilshire Blvd Ste 605
Los Angeles, CA 90025-6842
Mailing address
11645 Wilshire Blvd Ste 605
Los Angeles, CA 90025-6842
Phone (424) 644-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110803000428 | CA | Practitioner - Otolaryngology | 9830368182 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A116235 | CA | MD | Facial Plastic Surgery Physician |
| ME108935 | FL | MD | Facial Plastic Surgery Physician |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rejuva Medical Aesthetics, Inc. | Current | Accepting new patients | |
| Michael Zarrabi MD Inc -a Medical Corporation | Past | Accepting new patients |
Locations
11645 Wilshire Blvd
Ste 605
Los Angeles, CA 90025
Phone (424) 344-5616
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- kkarimi472788@oc.providencedirect.org
Organizations & group practices 2
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.
-
- Plastic and Reconstructive Surgery Physician
- Los Angeles, CA
- NPI 1730772955
-
- Plastic Surgery Physician
- Beverly Hills, CA
- NPI 1073673851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613606400000",
"number": "1073603262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11645 WILSHIRE BLVD STE 605",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900256842",
"telephone_number": "424-644-2400",
"fax_number": "424-298-4175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11645 WILSHIRE BLVD STE 605",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900256842",
"telephone_number": "424-644-2400",
"fax_number": "424-298-4175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARIMI",
"first_name": "KIAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2021-02-18",
"certification_date": "2021-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "FL",
"license": "ME108935",
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "CA",
"license": "A116235",
"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 Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.