Individual provider Active NPI

Peyman Tashkandi, D.O

  • Child & Adolescent Psychiatry Physician
  • Beverly Hills, CA
National Provider Identifier
1295197200
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
20A16618 Issued in CA
Practice address
435 N Roxbury Dr Ste 407
Beverly Hills, CA 90210-5006
Phone
(424) 303-8188
Fax
(424) 326-1994
NPI assigned
Mar 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 20A16618 CA Primary
Psychiatry Physician 2084P0800X 20A16618 CA

Addresses

Primary practice location

435 N Roxbury Dr Ste 407
Beverly Hills, CA 90210-5006

Mailing address

435 N Roxbury Dr Ste 407
Beverly Hills, CA 90210-5006
Phone (424) 303-8188

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
I20210726001165 CA Practitioner - Psychiatry 8921388778 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A16618CAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Luther King Jr Community Medical Foundation CurrentSince Sep 1, 2021 Accepting new patients
Tash Mind Institute Inc Psychiatry CurrentSince Aug 3, 2025 Accepting new patients
Martin Luther King Jr Community Medical Foundation Current Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Sep 1, 2021 Accepting new patients
Steven L Mandel M D a Professional Corporation Psychiatry CurrentSince Aug 1, 2022 Accepting new patients
Ketamine Clinics LLC PastSince Aug 1, 2022 Accepting new patients

Locations

435 N Roxbury Dr
Ste 407
Beverly Hills, CA 90210
Phone (310) 278-3746

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

12021 Wilmington Ave
Ste 1000
Los Angeles, CA 90059
Phone (424) 296-3976

6801 Park Ter
Ste 525
Los Angeles, CA 90045
Phone (310) 270-0625

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1295197200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 N ROXBURY DR STE 407",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105006",
            "telephone_number": "424-303-8188",
            "fax_number": "424-326-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N ROXBURY DR STE 407",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105006",
            "telephone_number": "424-303-8188",
            "fax_number": "424-326-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASHKANDI",
        "first_name": "PEYMAN",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-28",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "20A16618",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A16618",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.