Individual provider Active NPI

Kevin Hayavi, M.D.

  • Emergency Medicine Physician
  • Encino, CA
National Provider Identifier
1295888022
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A70365 Issued in CA
Practice address
15630 Ventura Blvd
Encino, CA 91436-3141
Phone
(818) 817-0600
Fax
(866) 586-9678
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X A70365 CA
Interventional Pain Medicine Physician 208VP0014X A70365 CA
Emergency Medicine Physician 207P00000X A70365 CA Primary

Addresses

Primary practice location

15630 Ventura Blvd
Encino, CA 91436-3141

Mailing address

PO Box 108
Beverly Hills, CA 90213-0108
Phone (310) 975-1885

Other practice location 1

8916 San Bernardino Rd Ste 110
Rancho Cucamonga, CA 91730-8804
Phone (909) 457-8411

Other practice location 2

3501 Mall View Rd Ste 105
Bakersfield, CA 93306-3045
Phone (661) 368-3194

Other practice location 3

257 S Fair Oaks Ave Ste 220
Pasadena, CA 91105-4126
Phone (626) 440-0600

Other practice location 4

215 S La Cienega Blvd Ste 100
Beverly Hills, CA 90211-3321
Phone (310) 888-0086

Other practice location 5

115 Jensen Ct Ste 200
Thousand Oaks, CA 91360-7406
Phone (805) 777-8956

Other identifiers 1

IdentifierTypeStateIssuer
A70365OtherCASTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A70365CAMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beverly Hills Physcians Institute a Medical Group Inc PastSince Jun 4, 2023 Accepting new patients
International Surgical Institute,.a.M.C PastSince Jun 4, 2023 Accepting new patients
Thousand Oaks Surgical Institute, a.M.C PastSince Mar 15, 2001 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1295888022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 108",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902130108",
            "telephone_number": "310-975-1885",
            "fax_number": "866-586-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15630 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914363141",
            "telephone_number": "818-817-0600",
            "fax_number": "866-586-9678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8916 San Bernardino Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917308804",
            "country_code": "US",
            "telephone_number": "909-457-8411",
            "fax_number": "866-586-9678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 Mall View Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933063045",
            "country_code": "US",
            "telephone_number": "661-368-3194",
            "fax_number": "866-586-9678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "257 S Fair Oaks Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911054126",
            "country_code": "US",
            "telephone_number": "626-440-0600",
            "fax_number": "866-586-9678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 S La Cienega Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902113321",
            "country_code": "US",
            "telephone_number": "310-888-0086",
            "fax_number": "866-586-9678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Jensen Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913607406",
            "country_code": "US",
            "telephone_number": "805-777-8956",
            "fax_number": "866-586-9678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYAVI",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "CA",
            "license": "A70365",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A70365",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A70365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "A70365",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.