Javid Ghandehari, M.D.

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

A127144 Issued in CA

Practice address

2121 Wilshire Blvd Ste 201
Santa Monica, CA 90403-5742

Phone

(310) 576-7267

NPI assigned

Aug 5, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: javid.ghandehari.1@9566.direct.athenahealth.com

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.

• Javid Ghandehari, MD, a California Medical Corporation

  • Pain Medicine Physician
  • Santa Monica, CA
  • NPI 1184192049
  NPD (past) Authorized official

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1306002761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W CIVIC CENTER DR STE 200",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704284",
            "telephone_number": "888-854-3822",
            "fax_number": "770-701-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 WILSHIRE BLVD STE 201",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035742",
            "telephone_number": "310-576-7267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 20th St",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904042050",
            "country_code": "US",
            "telephone_number": "310-586-1905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2825 Santa Monica Blvd",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904042429",
            "country_code": "US",
            "telephone_number": "310-566-1470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8670 Wilshire Boulevard",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "90211",
            "country_code": "US",
            "telephone_number": "877-806-7846",
            "fax_number": "858-451-2006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8670 Wilshire Boulevard",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "90211",
            "country_code": "US",
            "telephone_number": "877-806-7846",
            "fax_number": "858-451-2006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHANDEHARI",
        "first_name": "JAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-05",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "125054209",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A127144",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "A127144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Gettleman
• Todd Michael Gewant, D.C.
• Lida Ghaderi, M.D.
• Shirin Ghafouri, PHARMD
• Joshua Jonah Ghaly
• Marjan Ghanem, PHARMD
• Stephen Ghazikhanian
• Jessica Ghermezi
• Ghozland and Youssef a Medical Corp
• Ghozland and Youssef Anesthesia Medical Group Inc

• Pain Medicine Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.