Organization Active NPI

Keivan Golchini, MD Inc.

  • Medical Specialty Clinic/Center
  • Beverly Hills, CA
National Provider Identifier
1306148796
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
A48800 Issued in CA
Legal business name
KEIVAN GOLCHINI, MD INC.
Practice address
9100 Wilshire Blvd
Suite 245
Beverly Hills, CA 90212-3401
Phone
(310) 276-7649
NPI assigned
Nov 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Authorized official

Name
Keivan Golchini, MDNPI 1528074812
Title
Ceo
Phone
(310) 276-7649

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X A48800 CA Primary

Addresses

Primary practice location

9100 Wilshire Blvd
Suite 245
Beverly Hills, CA 90212-3401

Mailing address

9100 Wilshire Blvd
Suite 245
Beverly Hills, CA 90212-3401
Phone (310) 276-7649

Other identifiers 1

IdentifierTypeStateIssuer
A48800MedicaidCA

National Provider Directory

National Provider Directory

Locations

9100 Wilshire Blvd
Ste 245
Beverly Hills, CA 90212
Phone (310) 276-7649

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1306148796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 WILSHIRE BLVD",
            "address_2": "SUITE 245",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123401",
            "telephone_number": "310-276-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 WILSHIRE BLVD",
            "address_2": "SUITE 245",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123401",
            "telephone_number": "310-276-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEIVAN GOLCHINI, MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "GOLCHINI",
        "authorized_official_first_name": "KEIVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-276-7649",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A48800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A48800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.