Individual provider Active NPI

Pedram Navab, D.O.

  • Neurology Physician
  • Palm Springs, CA
National Provider Identifier
1194750984
Registry record updated Jun 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
20A9241 Issued in CA
Practice address
1180 N Indian Canyon Dr
Suite 200
Palm Springs, CA 92262-4800
Phone
(760) 416-4511
Fax
(760) 416-4512
NPI assigned
Jul 11, 2006
Last updated
Jun 5, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 20A9241 CA Primary

Addresses

Primary practice location

1180 N Indian Canyon Dr
Suite 200
Palm Springs, CA 92262-4800

Mailing address

1180 N Indian Canyon Dr
Palm Springs, CA 92262-4800
Phone (760) 416-4511

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
I20070703000250 CA Practitioner - Sleep MedicinePractitioner - Neurology 4486754538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Neurology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

510 Superior Ave
Suite 200a
Newport Beach, CA 92663-3664
Phone (949) 764-8070

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9241CAMDClinical Social Worker
20A9241CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sirish Nakka MD Inc CurrentSince Nov 8, 2023 Accepting new patients
Bakersfield Sleep Center Inc CurrentSince Jun 1, 2016 Accepting new patients
Emerald Isle Medical Group Inc Past Accepting new patients
Dignity Health Past Accepting new patients
KSK Enterprises LLC Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients

Locations

150 Carnation Dr
Ste 4
Freedom, CA 95019
Phone (408) 724-0440

1665 Dominican Way
Ste 222
Santa Cruz, CA 95065
Phone (831) 465-0586

260 S Sunnyvale Ave
Ste 6
Sunnyvale, CA 94086
Phone (844) 387-5337

Interoperability endpoints

  • Direct secure messaging: pedram.navab.1@28621.direct.athenahealth.com

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 1

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496620800000",
    "number": "1194750984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624800",
            "telephone_number": "760-416-4511",
            "fax_number": "760-416-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR",
            "address_2": "SUITE 200",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624800",
            "telephone_number": "760-416-4511",
            "fax_number": "760-416-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVAB",
        "first_name": "PEDRAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2017-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "20A9241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.