Individual provider Active NPI

Mahyar Okhovat, MD

  • Neurology Physician
  • Los Angeles, CA
National Provider Identifier
1215953476
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A85646 Issued in CA
Practice address
11022 Santa Monica Blvd Ste 310
Los Angeles, CA 90025-7558
Phone
(805) 557-0096
Fax
(805) 557-7360
NPI assigned
Jul 14, 2006
Last updated
Apr 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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 A85646 CA Primary

Addresses

Primary practice location

11022 Santa Monica Blvd Ste 310
Los Angeles, CA 90025-7558

Mailing address

11022 Santa Monica Blvd Ste 310
Los Angeles, CA 90025-7558
Phone (818) 918-2766

Other identifiers 1

IdentifierTypeStateIssuer
00A856460OtherCAMEDICAL PPIN #

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
I20050818000657 CA Practitioner - NeurologyPractitioner - Psychiatry 4789614710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Psychiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11022 Santa Monica Blvd
Suite 310
Los Angeles, CA 90025-7558
Phone (818) 918-2766

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mahyar Okhovat, M.D. Inc Neurology CurrentSince Jul 29, 2015 Accepting new patients

Locations

11022 Santa Monica Blvd
Ste 310
Los Angeles, CA 90025
Phone (818) 590-4445

Organizations & group practices 1

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 5

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1215953476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11022 SANTA MONICA BLVD STE 310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257558",
            "telephone_number": "818-918-2766",
            "fax_number": "818-921-4168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11022 SANTA MONICA BLVD STE 310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257558",
            "telephone_number": "805-557-0096",
            "fax_number": "805-557-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKHOVAT",
        "first_name": "MAHYAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A85646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PPIN #",
            "identifier": "00A856460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.