Ron Javdan, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

C50454 Issued in CA

Practice address

3631 Crenshaw Blvd Ste 109
Los Angeles, CA 90016-4869

Phone

(323) 732-0100

Fax

(323) 732-0104

NPI assigned

Dec 19, 2006

Last updated

Apr 22, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
• FHIR API: https://fhir4.healow.com/fhir/r4/BAFBCA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Benevolence Industries Incorporated

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1578763207

  Multi-Specialty

  Medicare reassignment NPD
• Ron Javdan MD LLC

  • Internal Medicine Physician
  • Chesterfield, MO
  • NPI 1578824256

  Multi-Specialty

  NPD Authorized official
• Benevolence Industries Incorporated

  dba Benevolence Health Center

  • Federally Qualified Health Center (FQHC)
  • Long Beach, CA
  • NPI 1306257324

  Multi-Specialty

  NPD
• Benevolence Industries Incorporated

  dba Benevolence Health Centers

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1457781676

  Multi-Specialty

  NPD
• Hoag Memorial Hospital Presbyterian

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1518951300

  Multi-Specialty

  NPD (past)
• Jose Gabriel Castellanos, MD, Inc.

  dba Covina Urgent Care

  • Urgent Care Clinic/Center
  • Covina, CA
  • NPI 1073905105
  NPD (past)
• Barnes Jewish St Peters Hospital Inc

  dba Barnes-Jewish St Peters Hospital

  • General Acute Care Hospital
  • Saint Peters, MO
  • NPI 1144238908
  NPD (past)
• Barnes Jewish St. Peters Hospital Inc.

  dba Barnes-Jewish St. Peters Hospital

  • General Practice Physician
  • Saint Peters, MO
  • NPI 1235148271

  Multi-Specialty

  NPD (past)
• Little Hills Healthcare, LLC

  dba Centerpointe Hospital

  • Psychiatric Hospital
  • Saint Charles, MO
  • NPI 1659364206

  Multi-Specialty

  NPD (past)
• Physician Groups LC

  dba Medical Arts Clinic

  • Multi-Specialty Clinic/Center
  • Farmington, MO
  • NPI 1427114990
  NPD (past)
• SSM Health Care St. Louis

  dba SSM Health St. Joseph Hospital - St. Charles

  • General Acute Care Hospital
  • Saint Charles, MO
  • NPI 1467521146
  NPD (past)
• St. Lukes Episcopal-Presbyterian Hospital

  dba St. Luke's Hospital

  • General Acute Care Hospital
  • Chesterfield, MO
  • NPI 1346251543

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1093878258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 JUNGERMANN CIR",
            "address_2": "SUITE 203",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761621",
            "telephone_number": "636-928-1822",
            "fax_number": "636-441-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 CRENSHAW BLVD STE 109",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900164869",
            "telephone_number": "323-732-0100",
            "fax_number": "323-732-0104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Jungermann Cir",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633761621",
            "country_code": "US",
            "telephone_number": "636-928-1822",
            "fax_number": "636-441-7033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAVDAN",
        "first_name": "RON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "R8435",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C50454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryam Fathi Javanbakht, DPT
• Nathan A Javari, D.P.M.
• David Javdan, D.D.S.
• Joseph Javdan, DO
• Parviz Javdan, M.D.
• Sean Javdan, M.D.
• Azita Javdanfar, PA-C
• Nashra Javed, MD
• Joshua Javedanfar, LMFT 139761
• Javid Tavari, D.O., Inc.

• Cardiovascular Disease Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.

Verify at the official NPI Registry.