Individual provider Active NPI

Behnam Partovi, PHD

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1306851076
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY20916 Issued in CA
Practice address
12304 Santa Monica Blvd
# 315
Los Angeles, CA 90025-2551
Phone
(310) 930-7500
Fax
(310) 453-3909
NPI assigned
Jul 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY20916 CA Primary

Addresses

Primary practice location

12304 Santa Monica Blvd
# 315
Los Angeles, CA 90025-2551

Mailing address

12304 Santa Monica Blvd
# 315
Los Angeles, CA 90025-2551
Phone (310) 930-7500

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061024000430 CA Practitioner - Clinical Psychologist 9335146943 Reassigns benefits to 5 organizations
Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William Gillespie and Associates IncGroup PAC ID 7517181373, 16 clinicians
Moiez Khankhanian, M.D. IncGroup PAC ID 8022205996, 3 clinicians

Practice addresses (Care Compare)

12304 Santa Monica Blvd
Suite 315
Los Angeles, CA 90025-2551
Phone (310) 930-7500

510 S Grand Ave
Suite 200
Glendora, CA 91741-4291
Phone (626) 914-1980

7500 Hellman Ave
Rosemead, CA 91770-2216
Phone (626) 813-1222

Merit-based Incentive Payment System (MIPS)

Final score
92.99 of 100Reported as group
Quality
95
Improvement activities
40
Cost
49.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY20916CAMDClinical Psychologist
20916CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Oceanside Medical Group, a Medical Corporation Psychiatry CurrentSince May 1, 2020 Accepting new patients
Moiez Khankhanian, M.D. Inc Psychiatry CurrentSince Jan 1, 2020 Accepting new patients
Vortex Mental Health Psychiatry CurrentSince Aug 19, 2020 Accepting new patients
William Gillespie and Associates Inc. Psychologist CurrentSince Jul 30, 2017 Accepting new patients
Behnam Partovi Psychologist PHD Clinical CurrentSince Dec 29, 2023 Accepting new patients
Vericare of California Medical Group Clinical Past Accepting new patients

Locations

1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220

420 S Beverly Dr
Ste 211
Beverly Hills, CA 90212
Phone (310) 552-0146

320 Cattle Call Dr
Brawley, CA 92227
Phone (760) 344-5431

510 S Grand Ave
Ste 200
Glendora, CA 91741
Phone (626) 914-1980

1703 Termino Ave
Ste 106
Long Beach, CA 90804
Phone (310) 552-0146

1760 Termino Ave
Ste 100
Long Beach, CA 90804
Phone (310) 552-0146

12304 Santa Monica Blvd
#315
Los Angeles, CA 90025
Phone (310) 849-4680

2900 E Del Mar Blvd
Pasadena, CA 91107
Phone (310) 559-5916

1100 W Morton Ave
Porterville, CA 93257
Phone (559) 782-1509

7500 Hellman Ave
Rosemead, CA 91770
Phone (616) 288-1160

701 Santa Monica Blvd
Ste 230
Santa Monica, CA 90401
Phone (310) 993-4103

1626 Montana Ave
Ste 645
Santa Monica, CA 90403

44280 Campanula Way
Temecula, CA 92592
Phone (951) 302-1122

867 E 11th St
Upland, CA 91786
Phone (909) 227-0750

933 S Sunset Ave
Ste 105
West Covina, CA 91790
Phone (626) 813-1222

12301 Wilshire Blvd
Ste 210
West Los Angeles, CA 90025
Phone (310) 204-1950

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1306851076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12304 SANTA MONICA BLVD",
            "address_2": "# 315",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252551",
            "telephone_number": "310-930-7500",
            "fax_number": "310-622-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12304 SANTA MONICA BLVD",
            "address_2": "# 315",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252551",
            "telephone_number": "310-930-7500",
            "fax_number": "310-453-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARTOVI",
        "first_name": "BEHNAM",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.