Individual provider Active NPI

Vaughn Aram Eyvazian, M.D.

  • Cardiovascular Disease Physician
  • Los Angeles, CA
National Provider Identifier
1295129492
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A146289 Issued in CA
Practice address
Ronald Reagan UCLA Medical Ctr
Department of Medicine 757 Westwood Plaza Suite 7501
Los Angeles, CA 90095-7414
Phone
(310) 825-7375
NPI assigned
Mar 25, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X A146289 CA Primary

Addresses

Primary practice location

Ronald Reagan UCLA Medical Ctr
Department of Medicine 757 Westwood Plaza Suite 7501
Los Angeles, CA 90095-7414

Mailing address

Ronald Reagan UCLA Medical Ctr
Department of Medicine 757 Westwood Plaza Suite 7501
Los Angeles, CA 90095-7414
Phone (310) 825-7375

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
I20200623000982 CA Practitioner - Internal Medicine 0244593762 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cabrillo Cardiology Medical Group IncGroup PAC ID 5890693279, 9 clinicians

Practice addresses (Care Compare)

2241 Wankel Way
Suite C
Oxnard, CA 93030-0191
Phone (805) 351-8212

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.51 of 100Reported as group
Quality
79.16
Promoting interoperability
96
Improvement activities
40
Cost
68.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting54
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A146289CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Confermed of California PC CurrentSince Apr 12, 2024 Accepting new patients
Confermed PC Past Accepting new patients

Locations

101 Academy
Ste 100
Irvine, CA 92617
Phone (860) 323-0172

11 Silver St
Unit 856
Middletown, CT 06457

Organizations & group practices 3

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 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": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1295129492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RONALD REAGAN UCLA MEDICAL CTR",
            "address_2": "DEPARTMENT OF MEDICINE 757 WESTWOOD PLAZA SUITE 7501",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900957414",
            "telephone_number": "310-825-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RONALD REAGAN UCLA MEDICAL CTR",
            "address_2": "DEPARTMENT OF MEDICINE 757 WESTWOOD PLAZA SUITE 7501",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900957414",
            "telephone_number": "310-825-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYVAZIAN",
        "first_name": "VAUGHN",
        "middle_name": "ARAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-25",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A146289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.