Cameron Khavarian, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A79842 Issued in CA

Practice address

320 Superior Avenue
Suite 320
Newport Beach, CA 92663-2742

Phone

(949) 645-8475

Fax

(855) 213-1762

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Dr. Cameron Khavarian Professional name

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

Internal Medicine

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Cameron Khavrian, MD Inc

  • Internal Medicine Physician
  • Newport Beach, CA
  • NPI 1528138823

  CA

  Medicare reassignment Authorized official
• Advanced Hospitalist Medical Group, Inc.

  • Emergency Medicine Physician
  • Mission Viejo, CA
  • NPI 1841240967
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1104871938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVENUE",
            "address_2": "SUITE 320",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632742",
            "telephone_number": "949-645-8475",
            "fax_number": "855-213-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVENUE",
            "address_2": "SUITE 320",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632742",
            "telephone_number": "949-645-8475",
            "fax_number": "855-213-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAVARIAN",
        "first_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A79842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "W20689",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1104871938",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1528138823",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMERON",
            "last_name": "KHAVARIAN",
            "prefix": "DR.",
            "credential": "M.D., INC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• All providers in Newport Beach, CA
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.