Active NPI
Hooman Madyoon, M.D.
- Specialist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A48701
- Practice address
- 640 S San Vicente Blvd Ste 350
Los Angeles, CA 90048-4659 - Phone
- (310) 402-8858
- Fax
- (310) 708-0175
- NPI assigned
- Apr 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A48701 | CA | |
| Specialist | 174400000X | A48701 | CA | Primary |
Addresses
Primary practice location
640 S San Vicente Blvd Ste 350
Los Angeles, CA 90048-4659
Mailing address
640 S San Vicente Blvd Ste 350
Los Angeles, CA 90048-4659
Phone (310) 402-8858
Other practice location 1
99 N. La Cienega Blvd.
#203
Beverly Hills, CA 90211-2222
Phone (310) 289-9955
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A487011 | Medicaid | CA |
Other names 1
- Hooman Madyoon
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
640 S San Vincente Blvd
Suite 350
Los Angeles, CA 90048
Phone (310) 492-8858
Hospital & facility affiliations
- Southern California Hospital at Hollywood
- Cedars-Sinai Medical Center
- Kaiser Foundation Hospital - West la
- Centinela Hospital Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 13 |
| Varicose vein removal | 59 |
| Leg revascularization (restoring blood flow) | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A48701 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beverly Hills Heart and Vascular Center, LLC. | Current | Accepting new patients | |
| Hooman Madyoon MD Inc | Specialist | Current | Accepting new patients |
| Cedars-Sinai Medical Center | Past | Accepting new patients | |
| Brotman Medical Center, Inc. | Past | Accepting new patients | |
| Sutter Tracy Community Hospital | Past | Accepting new patients | |
| Doctors Hospital of Manteca, Inc. | Past | Accepting new patients | |
| Port City Operating Company, LLC | Past | Accepting new patients | |
| Southern California Healthcare System, Inc | Past | Accepting new patients | |
| San Joaquin Cardiology Medical Group Inc | Cardiovascular Disease | Past | Accepting new patients |
| Southern California Healthcare System, Inc | Past | Accepting new patients |
Locations
99 N La Cienega Blvd
Ste 203
Beverly Hills, CA 90211
Phone (310) 657-1995
50 N La Cienega Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 659-0989
3831 Hughes Ave
Ste 105
Culver City, CA 90232
Phone (310) 815-5035
640 S San Vicente Blvd
Ste 350
Los Angeles, CA 90048
Phone (310) 402-8858
640 S San Vicente Blvd
Ste 640
Los Angeles, CA 90048
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 10
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.
-
- Ambulatory Surgical Clinic/Center
- Beverly Hills, CA
- NPI 1053737106
-
- Specialist
- Los Angeles, CA
- NPI 1508645540
-
- Skilled Nursing Facility
- Culver City, CA
- NPI 1518997733
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- Manteca, CA
- NPI 1992736599
-
- General Acute Care Hospital
- Stockton, CA
- NPI 1528190931
-
- Cardiovascular Disease Physician
- Stockton, CA
- NPI 1497785455
-
- General Acute Care Hospital
- Hollywood, CA
- NPI 1023010113
-
- Psychiatric Hospital Unit
- Culver City, CA
- NPI 1487905725
-
- General Acute Care Hospital
- Tracy, CA
- NPI 1043291164
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1134274897
-
- General Acute Care Hospital
- Inglewood, CA
- NPI 1336328244
-
- General Acute Care Hospital
- Hollywood, CA
- NPI 1023010113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1285696476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 S SAN VICENTE BLVD STE 350",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900484659",
"telephone_number": "310-402-8858",
"fax_number": "310-708-0175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 S SAN VICENTE BLVD STE 350",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900484659",
"telephone_number": "310-402-8858",
"fax_number": "310-708-0175"
}
],
"practiceLocations": [
{
"address_1": "99 N. La Cienega Blvd.",
"address_2": "#203",
"address_purpose": "LOCATION",
"city": "Beverly Hills",
"state": "CA",
"postal_code": "902112222",
"country_code": "US",
"telephone_number": "310-289-9955",
"fax_number": "310-289-9959",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MADYOON",
"first_name": "HOOMAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A48701",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A48701",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A487011",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HOOMAN",
"last_name": "MADYOON",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.