Individual provider Active NPI

Ronen Nazarian, M.D.

  • Otolaryngology Physician
  • Beverly Hills, CA
National Provider Identifier
1194967141
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A137944 Issued in CA
Practice address
414 N Camden Dr Ste 980
Beverly Hills, CA 90210-4525
Phone
(310) 861-3277
Fax
(424) 333-9357
NPI assigned
Apr 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A137944 CA Primary

Addresses

Primary practice location

414 N Camden Dr Ste 980
Beverly Hills, CA 90210-4525

Mailing address

414 N Camden Dr Ste 980
Beverly Hills, CA 90210-4525
Phone (310) 861-3277

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
I20151001002420 CA Practitioner - Otolaryngology 3577780139 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Southern California Keck School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Westside Head and NeckGroup PAC ID 9830367002, 6 clinicians
Ronen Nazarian MD IncGroup PAC ID 8022460559, 8 clinicians

Practice addresses (Care Compare)

3831 Hughes Ave
Suite 504
Culver City, CA 90232-6808
Phone (310) 204-4111

414 N Camden Dr
Suite 980
Beverly Hills, CA 90210-4525
Phone (310) 861-3277

Hospital & facility affiliations

  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A137944CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ronen Nazarian MD Inc Otolaryngology CurrentSince Jan 2, 2024 Accepting new patients
Shahbaz Farnad MD Professional Corporation Otolaryngology CurrentSince Apr 15, 2020 Accepting new patients
Westside Head & Neck Otolaryngology CurrentSince Nov 1, 2020 Accepting new patients
Prime Healthcare Centinela, LLC Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Sarasota County Public Hospital District Past Accepting new patients

Locations

414 N Camden Dr
Ste 980
Beverly Hills, CA 90210
Phone (310) 278-8811

3831 Hughes Ave
Ste 504
Culver City, CA 90232
Phone (310) 204-3376

3831 Hughes Ave
Ste 704
Culver City, CA 90232
Phone (310) 207-3320

8631 W 3rd St
Ste 945E
Los Angeles, CA 90048
Phone (310) 657-0123

5757 Wilshire Blvd
Ste PR2
Los Angeles, CA 90036
Phone (310) 285-9612

1301 20th St
Ste 510
Santa Monica, CA 90404
Phone (310) 828-6165

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1194967141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 N CAMDEN DR STE 980",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104525",
            "telephone_number": "310-861-3277",
            "fax_number": "424-333-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 N CAMDEN DR STE 980",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104525",
            "telephone_number": "310-861-3277",
            "fax_number": "424-333-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZARIAN",
        "first_name": "RONEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-06",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A137944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.