Organization Active NPI

Skilled Facility Health Care Solutions Inc

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1104018423
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SKILLED FACILITY HEALTH CARE SOLUTIONS INC
Practice address
5455 S Centinela Ave
Los Angeles, CA 90066-6942
Phone
(310) 445-5999
Fax
(323) 544-4248
NPI assigned
Aug 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Dr. Bardia Anvar, MDNPI 1679516314
Title
Owner
Phone
(310) 445-5999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

5455 S Centinela Ave
Los Angeles, CA 90066-6942

Mailing address

3746 Foothill Blvd # B140
Glendale, CA 91214-1740
Phone (310) 445-5999

Other practice location 1

3366 Riverside Dr Ste 103
Upper Arlington, OH 43221-1734
Phone (310) 445-5999

Other practice location 2

1201 Hays St
Tallahassee, FL 32301-2699
Phone (310) 445-5999

Other identifiers 1

IdentifierTypeStateIssuer
2861038MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ, TX, LA, CO, MS, AL, NV, MD, DC, NY, NJ, VA, GA, DE, PA, MA, CT, WA, IL, IN, NM, RI, MI, FL, WI, OH, NC, OK, TN30 enrollments

Enrollment records 30

Enrollment IDStateProvider typePAC IDDetails
O20080102000273 CA Part B Supplier - Clinic/Group Practice 9032299144 Receives reassigned benefits from 82 practitioners
9 other NPIs on this enrollment
O20100119000665 AZ Part B Supplier - Clinic/Group Practice 9032299144 Receives reassigned benefits from 11 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Yuma, AZ; Tucson, AZ; Phoenix, AZ; Flagstaff, AZ; Prescott, AZ
O20120530000296 TX Part B Supplier - Clinic/Group Practice 9032299144 Receives reassigned benefits from 41 practitioners
Practice locations: Dallas, TX; Richwood, TX
O20131220000534 LA Part B Supplier - Clinic/Group Practice 9032299144 Receives reassigned benefits from 3 practitioners
Practice locations: Belle Chasse, LA
O20170606000060 CO Part B Supplier - Clinic/Group Practice 9032299144 Receives reassigned benefits from 9 practitioners
Practice locations: Littleton, CO
O20170712000468 MS Part B Supplier - Clinic/Group Practice 9032299144 Receives reassigned benefits from 3 practitioners
Practice locations: Madison, MS
O20171227001852 AL Part B Supplier - Clinic/Group Practice 9032299144 Receives reassigned benefits from 2 practitioners
Practice locations: Montgomery, AL
O20180124000289 NV Part B Supplier - Clinic/Group Practice 9032299144 Receives reassigned benefits from 2 practitioners
Practice locations: Carson City, NV
O20180129000415 MD Part B Supplier - Clinic/Group Practice 9032299144 Receives reassigned benefits from 7 practitioners
Practice locations: Baltimore, MD
O20180208002898 DC Part B Supplier - Clinic/Group Practice 9032299144 Receives reassigned benefits from 7 practitioners
Practice locations: Washington, DC; Wheaton, MD
O20180814001561 NY Part B Supplier - Clinic/Group Practice 9032299144 Receives reassigned benefits from 22 practitioners
Practice locations: Far Rockaway, NY; New York, NY; Albany, NY
O20181119000440 NJ Part B Supplier - Clinic/Group Practice 9032299144 Receives reassigned benefits from 9 practitioners
Practice locations: Ewing, NJ
O20181218004158 VA Part B Supplier - Clinic/Group Practice 9032299144 Receives reassigned benefits from 5 practitioners
Practice locations: Richmond, VA
O20190102003183 GA Part B Supplier - Clinic/Group Practice 9032299144 Receives reassigned benefits from 10 practitioners
Practice locations: Atlanta, GA
O20190115000333 DE Part B Supplier - Clinic/Group Practice 9032299144 Receives reassigned benefits from 4 practitioners
Practice locations: Wilmington, DE
O20190204001348 PA Part B Supplier - Clinic/Group Practice 9032299144 Receives reassigned benefits from 9 practitioners
Practice locations: Hummelstown, PA
O20190416001569 MA Part B Supplier - Clinic/Group Practice 9032299144 Receives reassigned benefits from 8 practitioners
Practice locations: Boston, MA
O20191203001685 CT Part B Supplier - Clinic/Group Practice 9032299144 Receives reassigned benefits from 3 practitioners
Practice locations: Stamford, CT
O20191218001501 WA Part B Supplier - Clinic/Group Practice 9032299144 Practice locations: Fife, WA
O20191226001490 IL Part B Supplier - Clinic/Group Practice 9032299144 Receives reassigned benefits from 6 practitioners
Practice locations: Springfield, IL
O20200716002942 IN Part B Supplier - Clinic/Group Practice 9032299144 Receives reassigned benefits from 1 practitioner
Practice locations: Greenwood, IN
O20201016002535 NM Part B Supplier - Clinic/Group Practice 9032299144 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Fe, NM
O20201109001262 RI Part B Supplier - Clinic/Group Practice 9032299144 Receives reassigned benefits from 2 practitioners
Practice locations: Warwick, RI
O20210415001402 MI Part B Supplier - Clinic/Group Practice 9032299144 Receives reassigned benefits from 5 practitioners
Practice locations: Plymouth, MI
O20210510000356 FL Part B Supplier - Clinic/Group Practice 9032299144 Receives reassigned benefits from 7 practitioners
Practice locations: Loxahatchee, FL
O20210527001974 WI Part B Supplier - Clinic/Group Practice 9032299144 Practice locations: Madison, WI
O20240405003144 OH Part B Supplier - Clinic/Group Practice 9032299144 Receives reassigned benefits from 1 practitioner
Practice locations: Upper Arlington, OH
O20240506001940 NC Part B Supplier - Clinic/Group Practice 9032299144 Receives reassigned benefits from 2 practitioners
Practice locations: Raleigh, NC
O20240830001806 OK Part B Supplier - Clinic/Group Practice 9032299144 Receives reassigned benefits from 1 practitioner
Practice locations: Drumright, OK
O20260414000794 TN Part B Supplier - Clinic/Group Practice 9032299144 Receives reassigned benefits from 1 practitioner
Practice locations: Nashville, TN

National Provider Directory

National Provider Directory

Locations (25 of 46)

2740 Zelda Rd
Ste 5B
Montgomery, AL 36106
Phone (682) 234-1164

4037 US Highway 231
#A
Wetumpka, AL 36093

2211 E Southern Ave
Phoenix, AZ 85040
Phone (602) 305-7134

8825 N 23rd Ave
Phoenix, AZ 85021

211 S Beverly Dr
Beverly Hills, CA 90212

10610 Owensmouth Ave
Chatsworth, CA 91311
Phone (818) 458-5597

442 Sunset Blvd
Cherryland, CA 94541
Phone (510) 582-8311

3318 Willow Pass Rd
Concord, CA 94519
Phone (707) 334-7264

12072 Trask Ave
Garden Grove, CA 92843
Phone (714) 534-1942

3747 Foothill Blvd
Ste B140
Glendale, CA 91214

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

3747 Foothill Blvd
La Crescenta, CA 91214

1334 S Ham Ln
Lodi, CA 95242
Phone (209) 334-3825

1100 S Alvarado St
Los Angeles, CA 90006
Phone (213) 248-7300

5455 S Centinela Ave
Los Angeles, CA 90066

11150 W Olympic Blvd
Ste 1000
Los Angeles, CA 90064
Phone (310) 773-6300

2351 S Towne Ave
Pomona, CA 91766
Phone (909) 465-9337

1333 N Waterman Ave
San Bernardino, CA 92404
Phone (909) 885-0268

8060 Frost St
San Diego, CA 92123
Phone (858) 278-4750

909 W Santa Anita Ave
San Gabriel, CA 91776
Phone (626) 289-5365

180 N Jackson Ave
San Jose, CA 95116
Phone (408) 253-9034

600 E Washington Ave
Ste A
Santa Ana, CA 92701

2225 De la Vina St
Santa Barbara, CA 93105
Phone (805) 682-1355

991 Clyde Ave
Santa Clara, CA 95054
Phone (408) 988-7666

7025 Corline Ct
Sebastopol, CA 95472
Phone (707) 477-4860

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 246

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 246

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1104018423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3746 FOOTHILL BLVD # B140",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912141740",
            "telephone_number": "310-445-5999",
            "fax_number": "323-544-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 S CENTINELA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900666942",
            "telephone_number": "310-445-5999",
            "fax_number": "323-544-4248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3366 Riverside Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Upper Arlington",
            "state": "OH",
            "postal_code": "432211734",
            "country_code": "US",
            "telephone_number": "310-445-5999",
            "fax_number": "323-544-4248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Hays St",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323012699",
            "country_code": "US",
            "telephone_number": "310-445-5999",
            "fax_number": "323-544-4248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SKILLED FACILITY HEALTH CARE SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "ANVAR",
        "authorized_official_first_name": "BARDIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-445-5999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2861038",
            "state": "CA"
        }
    ],
    "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 Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.