Individual provider Active NPI

Ryan Darvish, M.D.

  • Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1215468327
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
A167192 Issued in CA
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

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240412002817 CA Practitioner - Obstetrics/Gynecology 6204106842 Reassigns benefits to 1 organization
Practice locations: Van Nuys, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A167192CAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Monsignor Oscar a Romero CurrentSince Dec 16, 2024 Accepting new patients
Clinica Monsignor Oscar a. Romero CurrentSince Dec 16, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.