Peyman Ghasri, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A83809 Issued in CA

Practice address

5363 Balboa Blvd
Suite 333
Encino, CA 91316-2805

Phone

(818) 501-3376

Fax

(818) 501-3337

NPI assigned

Apr 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

University of California, Irvine, California College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peyman Ghasri MD a Prof CorpGroup PAC ID 2264535566, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.83 of 100Reported as group

Quality

88.33

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Peyman Ghasri, M.D. a Professional Corporation

  • Dermatology Physician
  • Tarzana, CA
  • NPI 1356498976
  Medicare reassignment Care Compare group NPD Authorized official
• Long Beach Memorial Medical

  • Rehabilitation Hospital Unit
  • Long Beach, CA
  • NPI 1396791414
  NPD (past)
• Murad Medical Group

  • Specialist
  • El Segundo, CA
  • NPI 1831154699
  NPD (past)
• Tarzana Medical Center LLC

  dba Providence Cedars-Sinai Tarzana Medical Center

  • General Acute Care Hospital
  • Tarzana, CA
  • NPI 1821250762
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1265498034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18555 VENTURA BLVD",
            "address_2": "STE E",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564192",
            "telephone_number": "818-501-3376",
            "fax_number": "818-501-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5363 BALBOA BLVD",
            "address_2": "SUITE 333",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162805",
            "telephone_number": "818-501-3376",
            "fax_number": "818-501-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHASRI",
        "first_name": "PEYMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A83809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Ali Gharavi, MD
• Bahar Danesh Gharib, DC
• Darius Gharib, M.D.
• Negar Gharib, O.D.
• Ghasri Dental Corp (Encino Smile Makeover)
• Poneh Ghasri, D.D.S.
• Simin Ghasri
• Sean William Ghedi
• Ghiam Eye PC (Ghiam Eye)
• Benjamin Kambiz Ghiam, MD

• Specialist in Encino, CA
• Providers in Encino, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.