Individual provider Active NPI

Ryan Darius Partovi I, J.D., N.M.D., MIFHI

  • General Practice Physician
  • Del Mar, CA
National Provider Identifier
1144530429
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
10-1221 Issued in AZ
Practice address
1349 Camino del Mar Ste B
Del Mar, CA 92014
Phone
(855) 855-5432
Fax
(858) 712-4587
NPI assigned
Oct 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 10-1221 AZ Primary

Addresses

Primary practice location

1349 Camino del Mar Ste B
Del Mar, CA 92014

Mailing address

14810 Old Creek Rd
San Diego, CA 92131-4280
Phone (855) 855-5432

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
I20241206001141 CA Order and Referring Only - General PracticePractitioner - General Practice 2365978921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Juris Doctor

State licenses

LicenseStateTypeSpecialty
10-1221AZMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Wellness Institute, Inc General Practice Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ryan.partovi.1@9349.direct.athenahealth.com

Organizations & group practices 1

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": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1144530429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14810 OLD CREEK RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921314280",
            "telephone_number": "855-855-5432",
            "fax_number": "858-712-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 CAMINO DEL MAR STE B",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "92014",
            "telephone_number": "855-855-5432",
            "fax_number": "858-712-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARTOVI",
        "first_name": "RYAN",
        "middle_name": "DARIUS",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "J.D., N.M.D., MIFHI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-20",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "10-1221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Mar, CA

Sources for this page

Verify at the official NPI Registry.