Pavillion ASC Inc.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A37763 Issued in CA

Legal business name

PAVILLION ASC INC.

Practice address

28901 S. Western Avenue #127
Rancho Palos Veredes, CA 90275

Phone

(310) 514-2511

Fax

(310) 514-2449

NPI assigned

Dec 13, 2010

Last updated

Dec 13, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hossein A Najafi, M.D.NPI 1265574172

Title

President/Ceo

Phone

(310) 514-2511

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hossein Alkhorsan Najafi, M.D.

  • Plastic Surgery Physician
  • Rancho Palos Verdes, CA
  • NPI 1265574172
  NPD (past) Authorized official

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1194028233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 9225",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "91372",
            "telephone_number": "310-514-2511",
            "fax_number": "310-514-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28901 S. WESTERN AVENUE #127",
            "city": "RANCHO PALOS VEREDES",
            "state": "CA",
            "postal_code": "90275",
            "telephone_number": "310-514-2511",
            "fax_number": "310-514-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVILLION ASC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "NAJAFI",
        "authorized_official_first_name": "HOSSEIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "310-514-2511",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "A37763",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A37763",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A37763",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.