Active NPI
Ryan Darvish, M.D.
- Gynecology Physician
- Los Angeles, CA
National Provider Identifier
1215468327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- A167192
- Practice address
- 123 S Alvarado St
Los Angeles, CA 90057-2201 - Phone
- (213) 989-7700
- NPI assigned
- Mar 22, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | A167192 | CA | Primary |
Addresses
Primary practice location
123 S Alvarado St
Los Angeles, CA 90057-2201
Mailing address
7400 Van Nuys Blvd Ste 120
Van Nuys, CA 91405-1972
Phone (818) 782-9892
Other practice location 1
7400 Van Nuys Blvd Ste 120
Van Nuys, CA 91405-1972
Phone (818) 782-9892
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A167192 | CA | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Monsignor Oscar a Romero | Current | Accepting new patients | |
| Clinica Monsignor Oscar a. Romero | Current | Accepting new patients |
Locations
123 S Alvarado St
Los Angeles, CA 90057
Phone (213) 989-7700
7400 Van Nuys Blvd
Ste 120
Van Nuys, CA 91405
Phone (818) 782-9892
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- rdarvish672586@direct.ochin.org
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.
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1275629495
-
- Federally Qualified Health Center (FQHC)
- Canoga Park, CA
- NPI 1245966886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1215468327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 VAN NUYS BLVD STE 120",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914051972",
"telephone_number": "818-782-9892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 S ALVARADO ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900572201",
"telephone_number": "213-989-7700"
}
],
"practiceLocations": [
{
"address_1": "7400 Van Nuys Blvd Ste 120",
"address_purpose": "LOCATION",
"city": "Van Nuys",
"state": "CA",
"postal_code": "914051972",
"country_code": "US",
"telephone_number": "818-782-9892",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DARVISH",
"first_name": "RYAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-22",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "A167192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.