NPIMap

Individual provider Active NPI

Yashar Javidan, M.D.

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1225318876
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A116502 Issued in CA
Practice address
1200 N State St
Ste. A7D
Los Angeles, CA 90033-1029
Phone
(323) 226-7210
NPI assigned
Aug 26, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A116502 CA Primary

Addresses

Primary practice location

1200 N State St
Ste. A7D
Los Angeles, CA 90033-1029

Mailing address

1552 Heather Oaks LN
Westlake Village, CA 91361-1541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141017001098 CA Practitioner - Orthopedic Surgery 5799906699 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Chicago College of Medicine and Surgery, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

3850 G St
Merced, CA 95340-8787
Phone (209) 384-6528

Hospital & facility affiliations

  • Advanced Home Health, Inc Home health agency, Sacramento, CA, CCN 058426
  • Prohealth Home Care, Inc Home health agency, Sacramento, CA, CCN 059764
  • Sanctuary Home Health Home health agency, Sacramento, CA, CCN 757114
  • American River Home Care Home health agency, Sacramento, CA, CCN 059665
  • University of California Davis Medical Center Hospital, Sacramento, CA, CCN 050599
  • Marshall Medical Center Hospital, Placerville, CA, CCN 050254
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion273
Laminectomy or laminotomy (partial removal of spine bones)68
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A116502CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca CurrentSince Aug 1, 2014 Accepting new patients
Shriners Hospitals for Children CurrentSince Jul 1, 2020 Accepting new patients
Shriners Hospitals for Children CurrentSince Jul 1, 2020 Accepting new patients
Regents of the University of Ca CurrentSince Aug 1, 2014 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Shriners Hospitals for Children Orthopaedic Surgery Past Accepting new patients

Locations

3850 G St
Merced, CA 95340
Phone (209) 384-6528

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

2425 Stockton Blvd
Sacramento, CA 95817
Phone (916) 453-2000

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

4860 Y St
Ste 1700
Sacramento, CA 95817
Phone (916) 734-2700

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314316800000",
    "number": "1225318876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1552 HEATHER OAKS LN",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913611541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST",
            "address_2": "STE. A7D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331029",
            "telephone_number": "323-226-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVIDAN",
        "first_name": "YASHAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-26",
        "last_updated": "2011-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A116502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.