Pejman Bolourian, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A92878 Issued in CA

Practice address

1255 Federal Ave
Los Angeles, CA 90025-3969

Phone

(310) 704-0165

NPI assigned

Jun 22, 2006

Last updated

Jul 9, 2007By the provider in NPPES

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Anaheim Urgent Care, Inc.

  • Urgent Care Clinic/Center
  • Anaheim, CA
  • NPI 1962680033
  Medicare reassignment NPD Authorized official
• Anaheim Urgent Care, Inc

  dba Advanced Urgent Care of Beverly Hills

  • Urgent Care Clinic/Center
  • Beverly Hills, CA
  • NPI 1619682788
  NPD
• West Los Angeles Urgent Care

  • Urgent Care Clinic/Center
  • Los Angeles, CA
  • NPI 1982121307
  NPD
• East Los Angeles Clinica Medica General Medical Center Inc

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1053368530
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1114963360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 FEDERAL AVE. #205",
            "city": "LA",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "310-704-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 FEDERAL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253969",
            "telephone_number": "310-704-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLOURIAN",
        "first_name": "PEJMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A92878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesly Alicia Bollo
• Kyle Alexander Bolo
• David Bolos
• Veronica Bolotnikova
• Nina Bolour
• Agnes Bolt, PMHNP, RN
• Elisabeth Renee Bolten, OTR/L
• Alyssa Marie Bolter, MS, PA-C
• Deborah Bolton, NP
• Masai Bolton

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.