Javid Ghandehari, MD, a California Medical Corporation

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

JAVID GHANDEHARI, MD, A CALIFORNIA MEDICAL CORPORATION

Practice address

1328 22ND St
Santa Monica, CA 90404-2032

Phone

(310) 829-5511

NPI assigned

Nov 8, 2018

Organization subpart

No

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

Authorized official

Name

Javid Ghandehari, MDNPI 1306002761

Title

Owner

Phone

(210) 845-6268

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Javid Ghandehari, M.D.

  • Pain Medicine Physician
  • Santa Monica, CA
  • NPI 1306002761
  NPD (past) Authorized official

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1184192049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W CIVIC CENTER DR STE 200",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704284",
            "telephone_number": "888-854-3822",
            "fax_number": "770-701-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 22ND ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042032",
            "telephone_number": "310-829-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVID GHANDEHARI, MD, A CALIFORNIA MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "GHANDEHARI",
        "authorized_official_first_name": "JAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-845-6268",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maninder Kaur Jasdhaul, MSN,RN,ACNS-BC
• Jason Mirabile Dental Corp
• Cristie Jauregi Cancio
• Abe Javaheri, PHARM.D.
• Khalid Kurbanali Javeri, M.D.
• John Francis Javier, P.T.
• Jay Gross, M.D., a Professional Corporation
• Jay Patel, M.D., Inc.
• Jaydeeze Beauty and Health Care
• Monica Jedlinski, NP

• Pain Medicine Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.