Individual provider Active NPI

Khalid Kurbanali Javeri, M.D.

  • Diagnostic Radiology Physician
  • Santa Monica, CA
National Provider Identifier
1144430422
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A112857 Issued in CA
Practice address
2428 Santa Monica Blvd
Santa Monica, CA 90404-2045
Phone
(310) 315-1000
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A112857 CA Primary
Diagnostic Radiology Physician 2085R0202X 4301086586 MI

Addresses

Primary practice location

2428 Santa Monica Blvd
Santa Monica, CA 90404-2045

Mailing address

1817 N Center St
Royal Oak, MI 48073-4156
Phone (214) 563-4787

Other practice location 1

2799 W Grand Blvd Ste 109
Detroit, MI 48202-2608
Phone (313) 916-1384

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
I20100812000531 CA Practitioner - Diagnostic Radiology 1759415748 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Southwestern Medical School at Dallas, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians

Practice addresses (Care Compare)

155 N San Vicente Blvd
Simonmed Imaging San Vicente
Beverly Hills, CA 90211-2303
Phone (323) 433-7800

15775 Laguna Canyon Rd
Suite 140
Irvine, CA 92618-3190
Phone (949) 522-8120

24 Pacific GRV
Irvine, CA 92602-1017
Phone (480) 306-6949

6185 Paseo del Norte
110 Simonmed Imaging Carlsbad
Carlsbad, CA 92011-1152
Phone (760) 585-7524

6676 Emmet Ter
Los Angeles, CA 90068-3208
Phone (480) 306-6949

8370 Wilshire Blvd
110 Simonmed Imaging Beverly Hills Stand Up
Beverly Hills, CA 90211-2334
Phone (323) 966-0000

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.3 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.38 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40
Cost
77.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301086586MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Apr 23, 2023 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Jan 11, 2025 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Apr 23, 2023 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Dec 2, 2024 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Current Accepting new patients
Arizona Diagnostic Radiology Group, LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Sep 9, 2024 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Jul 6, 2022 Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Aug 1, 2011 Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

9330 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 325-6800

4500 Morning Dr
Ste 202
Bakersfield, CA 93306
Phone (661) 326-6900

2301 Bahamas Dr
Bakersfield, CA 93309

3838 San Dimas St
Ste A120
Bakersfield, CA 93301
Phone (661) 328-9600

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

8370 Wilshire Blvd
Ste 110
Beverly Hills, CA 90211
Phone (323) 966-0000

155 N San Vicente Blvd
#1182
Beverly Hills, CA 90211
Phone (323) 433-7800

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

15775 Laguna Canyon Rd
Irvine, CA 92618
Phone (617) 455-2048

44105 15th St W
Ste 100
Lancaster, CA 93534
Phone (661) 726-6050

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

2400 E 4th St
National City, CA 91950
Phone (619) 470-4141

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

2336 Santa Monica Blvd
Ste 206
Santa Monica, CA 90404
Phone (310) 315-1000

2428 Santa Monica Blvd
Ste 100
Santa Monica, CA 90404
Phone (310) 264-1777

2428 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 315-1000

501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511

2320 N California St
Stockton, CA 95204
Phone (209) 466-2000

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-6000

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

14302 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 975-1111

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network
  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1144430422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 N CENTER ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480734156",
            "telephone_number": "214-563-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 SANTA MONICA BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042045",
            "telephone_number": "310-315-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2799 W Grand Blvd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482022608",
            "country_code": "US",
            "telephone_number": "313-916-1384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAVERI",
        "first_name": "KHALID",
        "middle_name": "KURBANALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A112857",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301086586",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.