Individual provider Active NPI

Kourosh K Daneshgar, M.D.

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1275619736
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A64700 Issued in CA
Practice address
8679 W Pico Blvd
Los Angeles, CA 90035-2315
Phone
(310) 553-1200
Fax
(310) 553-1216
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A64700 CA Primary

Addresses

Primary practice location

8679 W Pico Blvd
Los Angeles, CA 90035-2315

Mailing address

8679 W Pico Blvd
Los Angeles, CA 90035-2315
Phone (310) 553-1200

Other names 1

  • Kevin Daneshgar Other name

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
I20080313000165 CA Practitioner - Obstetrics/Gynecology 8224111059 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Century Women Medical Group, Inc.Group PAC ID 2961585799, 2 clinicians

Practice addresses (Care Compare)

16900 Lakewood Blvd
Suite 308
Bellflower, CA 90706-5580
Phone (562) 991-1900

2771 E Florence Ave
Huntington Park, CA 90255-5750
Phone (323) 582-1414

8679 W Pico Blvd
Los Angeles, CA 90035-2315
Phone (310) 553-1200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A64700CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care Community Health Center, Inc CurrentSince Jan 18, 2022 Accepting new patients
Gracelight Community Health CurrentSince Mar 15, 2021 Accepting new patients
Century Family Medical Group, Inc. CurrentSince Jun 7, 2013 Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Dec 1, 2023 Accepting new patients
Century Women Medical Group, Inc. Obstetrics & Gynecology CurrentSince Jan 14, 2008 Accepting new patients
Complete Care Community Health Center, Inc CurrentSince Jan 18, 2022 Accepting new patients
Community Prenatal and Medical Clinic, a Medical Corporation Obstetrics & Gynecology CurrentSince Dec 17, 2017 Accepting new patients
Complete Care Community Health Center, Inc Current Accepting new patients
Dignity Community Care Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
Pediatric and Family Medical Center Past Accepting new patients
Pediatric and Family Medical Center Past Accepting new patients
Century Women Medical Group Obstetrics & Gynecology Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Eladh, LP Past Accepting new patients
Ahmc Monterey Park Hospital LP Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients

Locations

16900 Lakewood Blvd
Ste 308
Bellflower, CA 90706
Phone (310) 553-1200

7301 State St
Huntington Park, CA 90255
Phone (323) 277-4779

2771 E Florence Ave
Huntington Park, CA 90255
Phone (323) 582-1414

2505 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (310) 701-0770

2080 Century Park E
Ste 507
Los Angeles, CA 90067
Phone (310) 553-1200

3000 S Robertson Blvd
Ste 280
Los Angeles, CA 90034

2928 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 266-6700

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

4816 E 3rd St
Los Angeles, CA 90022
Phone (323) 780-4510

2030 W Pico Blvd
Los Angeles, CA 90006
Phone (213) 389-4544

150 N Reno St
Los Angeles, CA 90026
Phone (213) 380-7298

8679 W Pico Blvd
Los Angeles, CA 90035
Phone (310) 553-1200

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

2595 E Washington Blvd
Ste 106
Pasadena, CA 91107
Phone (626) 794-8133

2595 E Washington Blvd
Pasadena, CA 91107
Phone (626) 791-4692

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kevin.daneshgar.1@28334.direct.athenahealth.com
  • Direct secure messaging: kevin.daneshgar.p1@direct.ccchcenter.nextgenshare.com

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 4

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1275619736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8679 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352315",
            "telephone_number": "310-553-1200",
            "fax_number": "310-553-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8679 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352315",
            "telephone_number": "310-553-1200",
            "fax_number": "310-553-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANESHGAR",
        "first_name": "KOUROSH",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A64700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "DANESHGAR",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.