Active NPI
Kevin Hayavi, M.D.
- Emergency Medicine Physician
- Encino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A70365
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A70365 | Other | CA | STATE 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
| License | State | Type | Specialty |
|---|---|---|---|
| A70365 | CA | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beverly Hills Physcians Institute a Medical Group Inc | Past | Accepting new patients | |
| International Surgical Institute,.a.M.C | Past | Accepting new patients | |
| Thousand Oaks Surgical Institute, a.M.C | Past | 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.
-
- General Practice Physician
- Thousand Oaks, CA
- NPI 1609569029
-
- Ambulatory Surgical Clinic/Center
- Beverly Hills, CA
- NPI 1649322405
-
- Ambulatory Surgical Clinic/Center
- Thousand Oaks, CA
- NPI 1356493126
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.