Delaram Halavi
Individual provider Active NPI Physician Assistant · Beverly Hills, CA
NPI 1124489117 · NPPES record last updated Mar 17, 2016
Key facts
- NPI
- 1124489117
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 433 N Palm Dr
Apt 201
Beverly Hills, CA 90210-3978 - Phone
- (310) 721-6822
- NPI assigned
- Mar 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Physician Assistant
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Affiliates Medical Group Inc | Past | Accepting new patients | |
| Healthylife MG Corp | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
433 N Palm Dr
Apt 201
Beverly Hills, CA 90210-3978
Mailing address
433 N Palm Dr
Apt 201
Beverly Hills, CA 90210-3978
Other providers in Beverly Hills, CA
- Michael Hakimi
- Albert Hakimian
- Kamran Hakimian
- Shahrad Hakimian
- Tina R Hakimian
- Haleh Bakshandeh MD PA
- Haleh Roohipour MD .Inc
- Nicole Halimi
- Michon Halio
- Myron Louis Hall
All providers in Beverly Hills, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.