Individual provider Active NPI

Kian Karimi, MD

  • Facial Plastic Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1073603262
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
A116235 Issued in CA
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

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110803000428 CA Practitioner - Otolaryngology 9830368182

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A116235CAMDFacial Plastic Surgery Physician
ME108935FLMDFacial Plastic Surgery Physician

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Rejuva Medical Aesthetics, Inc. CurrentSince Feb 21, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.