Individual provider Active NPI

Payman Vahedifar, M.D

  • Nephrology Physician
  • Los Angeles, CA
National Provider Identifier
1275522096
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A62526 Issued in CA
Practice address
8635 W 3Rd St
Ste# 865W
Los Angeles, CA 90048-6101
Phone
(310) 659-1654
NPI assigned
Oct 14, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A62526 CA Primary

Addresses

Primary practice location

8635 W 3Rd St
Ste# 865W
Los Angeles, CA 90048-6101

Mailing address

8635 W 3Rd St
Ste# 865W
Los Angeles, CA 90048-6101
Phone (310) 659-1654

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
I20040628001434 CA Practitioner - Internal MedicinePractitioner - Nephrology 4082690201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
University of California, Geffen School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2080 Century Park E
Suite 1410
Los Angeles, CA 90067-2017
Phone (310) 288-0808

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90.48
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A62526CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Payman Vahedifar a Professional Medical Corporation Nephrology CurrentSince Nov 1, 2010 Accepting new patients
Vahedifar Pirouz Medical Partnership Nephrology CurrentSince Mar 7, 2021 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

240 S La Cienega Blvd
Ste 102
Beverly Hills, CA 90211
Phone (310) 246-4100

50 N La Cienega Blvd
Ste 220
Beverly Hills, CA 90211
Phone (310) 288-0808

2080 Century Park E
Ste 1410
Los Angeles, CA 90067
Phone (310) 277-7600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: pvahedifar103935@direct.cshs.org

Organizations & group practices 4

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 6

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275522096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST",
            "address_2": "STE# 865W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486101",
            "telephone_number": "310-659-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST",
            "address_2": "STE# 865W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486101",
            "telephone_number": "310-659-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAHEDIFAR",
        "first_name": "PAYMAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A62526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.