Individual provider Active NPI

Pavel Goykhman, M.D.

  • Cardiovascular Disease Physician
  • West Hollywood, CA
National Provider Identifier
1174788665
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A105559 Issued in CA
Practice address
948 N Fairfax Ave
Suite 201
West Hollywood, CA 90046-7204
Phone
(818) 348-5560
Fax
(877) 416-3055
NPI assigned
Jul 23, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A105559 CA
Interventional Cardiology Physician 207RI0011X A105559 CA
Cardiovascular Disease Physician 207RC0000X A105559 CA Primary

Addresses

Primary practice location

948 N Fairfax Ave
Suite 201
West Hollywood, CA 90046-7204

Mailing address

948 N Fairfax Ave
Suite 201
West Hollywood, CA 90046-7204

Other practice location 1

4849 Van Nuys Blvd Ste 202
Sherman Oaks, CA 91403-2121
Phone (818) 348-5560

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
I20091209000501 CA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8022157783 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

948 N Fairfax Ave
Suite 201
West Hollywood, CA 90046-7204
Phone (323) 654-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A105559CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Jan 1, 2016 Accepting new patients
Professional Imaging Network CurrentSince Apr 1, 2024 Accepting new patients
Center for Interventional Cardiology & Nephrology Med GP Inc CurrentSince Jun 10, 2017 Accepting new patients
Pavel Goykhman, M.D., Apc Cardiovascular Disease CurrentSince Apr 1, 2015 Accepting new patients
Center for Advanced Cardiac and Vascular Interventions Cardiovascular Disease CurrentSince Jan 14, 2018 Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

8536 Wilshire Blvd
Ste 302
Beverly Hills, CA 90211
Phone (310) 248-8300

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

8741 Alden Dr
Ste A
Los Angeles, CA 90048
Phone (310) 652-2744

18226 Ventura Blvd
Ste 102
Tarzana, CA 91356
Phone (818) 905-5904

8631 W 3rd St
Ste 815E
West Hollywood, CA 90048
Phone (310) 652-3055

948 N Fairfax Ave
#201
West Hollywood, CA 90046
Phone (323) 654-2020

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1174788665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 N FAIRFAX AVE",
            "address_2": "SUITE 201",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900467204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 N FAIRFAX AVE",
            "address_2": "SUITE 201",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900467204",
            "telephone_number": "818-348-5560",
            "fax_number": "877-416-3055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4849 Van Nuys Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914032121",
            "country_code": "US",
            "telephone_number": "818-348-5560",
            "fax_number": "877-416-3055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOYKHMAN",
        "first_name": "PAVEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A105559",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A105559",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A105559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.