Jamsheed Akhavan, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A47734 Issued in CA

Practice address

22030 Sherman Way
Suite # 101
Canoga Park, CA 91303-1844

Phone

(818) 312-9101

Fax

(818) 312-9100

NPI assigned

Jan 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Pediatric Medicine

Education

Other, 1967

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

101 Family Medical Group,a Professional CorpGroup PAC ID 5890831580, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sunny Smile Home Health, Inc Home health agency, Woodland Hills, CA, CCN 757382

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• 101 Family Medical Group,a Professional Corp

  • Primary Care Clinic/Center
  • Canoga Park, CA
  • NPI 1174856348
  Medicare reassignment Care Compare group NPD
• Providence Health System Southern California

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1902844988
  NPD (past)
• Torrance Memorial Medical Center

  • Skilled Nursing Facility
  • Torrance, CA
  • NPI 1740268713
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sunny Smile Home Health, Inc.

  • Home Health Agency
  • Woodland Hills, CA
  • NPI 1881362911
  Care Compare affiliation

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1073661807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22030 SHERMAN WAY",
            "address_2": "SUITE # 101",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031844",
            "telephone_number": "818-312-9101",
            "fax_number": "818-312-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22030 SHERMAN WAY",
            "address_2": "SUITE # 101",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031844",
            "telephone_number": "818-312-9101",
            "fax_number": "818-312-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKHAVAN",
        "first_name": "JAMSHEED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A47734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Aispuro
• Ajibola a Sadiqr
• Ariana Kristina Ajir
• Arpa Akbari
• Elizabeth Akers
• Sherry Sharareh Akhavan
• Michael Akhondi, MD
• Fawz Akram
• Yaw Akuffo-Anoff
• Alabama Health Center

• Pediatrics Physician in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.