Active NPI
Fayegh Vakili, M.D.
- Orthopaedic Surgery Physician
- Hawthorne, CA
National Provider Identifier
1184724643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- A39870
- Practice address
- 4477 W 118TH St
Suite 503
Hawthorne, CA 90250-2255 - Phone
- (310) 644-3500
- Fax
- (310) 644-0877
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | A39870 | CA | Primary |
Addresses
Primary practice location
4477 W 118TH St
Suite 503
Hawthorne, CA 90250-2255
Mailing address
4477 W 118TH St Ste 405
Hawthorne, CA 90250-2259
Phone (310) 644-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 954032272 | Other | CA | TAX ID NO. |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4477 W 118TH St
Suite 405
Hawthorne, CA 90250-2259
Phone (310) 644-3500
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A39870 | CA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fayegh Vakili Inc | Current | Accepting new patients | |
| Southern California Healthcare System, Inc | Past | Accepting new patients |
Locations
4477 W 118th St
Ste 405
Hawthorne, CA 90250
Phone (310) 644-3500
4477 W 118th St
Ste 503
Hawthorne, CA 90250
Phone (310) 644-3500
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
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.
-
- Specialist
- Hawthorne, CA
- NPI 1164509139
-
- Psychiatric Hospital Unit
- Culver City, CA
- NPI 1487905725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1184724643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4477 W 118TH ST STE 405",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902502259",
"telephone_number": "310-644-3500",
"fax_number": "310-644-0877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4477 W 118TH ST",
"address_2": "SUITE 503",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902502255",
"telephone_number": "310-644-3500",
"fax_number": "310-644-0877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAKILI",
"first_name": "FAYEGH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A39870",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID NO.",
"identifier": "954032272",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.