Individual provider Active NPI

Amir Kaviani, M.D.

  • Vascular Surgery Physician
  • Torrance, CA
National Provider Identifier
1144276262
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A68655 Issued in CA
Practice address
23451 Madison St
Suite #340
Torrance, CA 90505-4763
Phone
(310) 373-6864
Fax
(310) 373-9547
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X A68655 CA Primary

Addresses

Primary practice location

23451 Madison St
Suite #340
Torrance, CA 90505-4763

Mailing address

23451 Madison St
Suite #340
Torrance, CA 90505-4763
Phone (310) 373-6864

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
I20061221000373 CA Practitioner - Vascular Surgery 3375543382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Boston University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Bay Vascular Surgery IncGroup PAC ID 4486092699, 4 clinicians

Practice addresses (Care Compare)

23560 Madison St
Suite 110
Torrance, CA 90505-4709
Phone (310) 373-6864

Hospital & facility affiliations

  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351
  • Providence Little Company of Mary Med Ctr Torrance Hospital, Torrance, CA, CCN 050353

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A68655CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Association of South Bay Surgeons Vascular Center, Inc. Current Accepting new patients
South Bay Vascular Surgery Inc Vascular Surgery CurrentSince Apr 18, 2024 Accepting new patients
Association of South Bay Surgeons CurrentSince Jul 17, 2006 Accepting new patients
Providence Health System Southern California Past Accepting new patients
Torrance Health Association Inc PastSince May 1, 2015 Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Locations

23560 Madison St
Ste 110
Torrance, CA 90505
Phone (310) 373-6864

23451 Madison St
Ste 340
Torrance, CA 90505
Phone (310) 373-6864

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: a.kaviani@sbvs.directbygreenway.com
  • Direct secure messaging: amir.kaviani@southbaysurgeons.directbygreenway.com

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 2

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1144276262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23451 MADISON ST",
            "address_2": "SUITE #340",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054763",
            "telephone_number": "310-373-6864",
            "fax_number": "310-373-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23451 MADISON ST",
            "address_2": "SUITE #340",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054763",
            "telephone_number": "310-373-6864",
            "fax_number": "310-373-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVIANI",
        "first_name": "AMIR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A68655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.