Individual provider Active NPI

Hooman Madyoon, M.D.

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1285696476
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A48701 Issued in CA
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

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A487011MedicaidCA

Other names 1

  • Hooman Madyoon 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
I20120207000674 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Peripheral Vascular DiseasePractitioner - Vascular SurgeryPractitioner - Cardiac SurgeryPractitioner - Interventional Radiology 3173780814 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Surgery, Hospice/Palliative Care, Internal Medicine, Interventional Radiology
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 Hospital, Hollywood, CA, CCN 050135
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625
  • Kaiser Foundation Hospital - West la Hospital, Los Angeles, CA, CCN 050561
  • Centinela Hospital Medical Center Hospital, Inglewood, CA, CCN 050739

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting13
Varicose vein removal59
Leg revascularization (restoring blood flow)13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A48701CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Beverly Hills Heart and Vascular Center, LLC. CurrentSince Feb 27, 2014 Accepting new patients
Hooman Madyoon MD Inc Specialist CurrentSince Oct 21, 2023 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.