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
Last updated
Sep 19, 2024By the provider in NPPES
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

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

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 15

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

View all 15

National Provider Directory

National Provider Directory

Locations (25 of 50)

4037 US Highway 231
#A
Wetumpka, AL 36093

8825 N 23rd Ave
Ste 100
Phoenix, AZ 85021
Phone 41550438389238

501 S Beach Blvd
Anaheim, CA 92804
Phone (714) 816-0540

16900 Lakewood Blvd
Ste 308
Bellflower, CA 90706
Phone (562) 804-0750

211 S Beverly Dr
Beverly Hills, CA 90212

8520 Western Ave
Buena Park, CA 90620
Phone (714) 776-8273

555 El Encanto Rd
City of Industry, CA 91745
Phone (626) 336-1274

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

3747 Foothill Blvd
Ste B140
Glendale, CA 91214

3747 Foothill Blvd
La Crescenta, CA 91214

7160 Fay Ave
La Jolla, CA 92037
Phone (858) 459-4361

6705 W Avenue M
Lancaster, CA 93536
Phone (661) 943-3212

2750 Atlantic Ave
Long Beach, CA 90806
Phone (562) 424-8018

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

2190 W Adams Blvd
Los Angeles, CA 90018
Phone (323) 737-4398

1275 Crane St
Menlo Park, CA 94025
Phone (510) 481-3206

610 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-3141

9346 Corbin Ave
Northridge, CA 91324
Phone (818) 349-9966

2919 Fruitvale Ave
Oakland, CA 94602
Phone (510) 261-8564

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

6740 Wilbur Ave
Reseda, CA 91335
Phone (310) 399-7823

11162 Palm Terrace Ln
Riverside, CA 92505
Phone (951) 687-7330

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

3202 Duke St
San Diego, CA 92110
Phone (619) 224-4141

1477 Grove St
San Francisco, CA 94117
Phone (415) 563-0565

Practitioners & affiliated clinicians

Practitioners 246

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": [],
    "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.