Individual provider Active NPI

Michael Javaheri, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Beverly Hills, CA
National Provider Identifier
1124298575
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
A94767 Issued in CA
Practice address
9735 Wilshire Blvd Ste 219
Beverly Hills, CA 90212-2110
Phone
(310) 858-6569
Fax
(310) 858-3922
NPI assigned
Feb 29, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A94767 CA
Retina Specialist (Ophthalmology) Physician 207WX0107X A94767 CA Primary

Addresses

Primary practice location

9735 Wilshire Blvd Ste 219
Beverly Hills, CA 90212-2110

Mailing address

9735 Wilshire Blvd Ste 219
Beverly Hills, CA 90212-2110
Phone (310) 858-6569

Other identifiers 1

IdentifierTypeStateIssuer
1124298575OtherCANPI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20081021000467 CA Practitioner - Ophthalmology 1052479904 Reassigns benefits to 4 organizations
Practice locations: Beverly Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cha Medical and Surgical Group PCGroup PAC ID 7618216607, 11 clinicians

Practice addresses (Care Compare)

1300 N Vermont Ave
Los Angeles, CA 90027-6300
Phone (833) 270-3937

Hospital & facility affiliations

  • Hollywood Presbyterian Medical Center Hospital, Los Angeles, CA, CCN 050063

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A94767CAMDOphthalmology Physician
94767CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew F. Phillips MD, Inc. CurrentSince Sep 12, 2012 Accepting new patients
Cha Medical and Surgical Group, PC Ophthalmology CurrentSince Feb 6, 2023 Accepting new patients
Alliance Eye Medical Group, Inc. Ophthalmology CurrentSince Aug 1, 2016 Accepting new patients
Julia W Valdez M D Inc Ophthalmology CurrentSince Oct 1, 2014 Accepting new patients
Glendale Adventist Medical Center Ophthalmology Past Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

16031 Tuscola Rd
Apple Valley, CA 92307
Phone (760) 946-2020

301 W Huntington Dr
Ste 605
Arcadia, CA 91007
Phone (626) 446-1600

1300 N Vermont Ave
Ste 101
Los Angeles, CA 90027
Phone (323) 644-4445

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

1828 E Cesar E Chavez Ave
Ste 6500
Los Angeles, CA 90033
Phone (323) 263-6774

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mjavaheri@rsbh.intellechartdirect.net
  • Direct secure messaging: michael.javaheri.p1@direct.valleyeyecenter.nextgenshare.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/ZovcCzFH9WoaIYAtfnADtCEJJqhJ7vbO/
  • FHIR API: https://app.meldrx.com/api/fhir/imedicware_chamg

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1124298575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD STE 219",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122110",
            "telephone_number": "310-858-6569",
            "fax_number": "310-858-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD STE 219",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122110",
            "telephone_number": "310-858-6569",
            "fax_number": "310-858-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVAHERI",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-29",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A94767",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "A94767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1124298575",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.