Active NPI
Mohamad Djavad Naficy, M.D.
- Specialist
- Beverly Hills, CA
National Provider Identifier
1306920194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- C51746
- Practice address
- 9107 Wilshire Blvd
Suite 200
Beverly Hills, CA 90210-5531 - Phone
- (310) 909-3916
- Fax
- (310) 246-0099
- NPI assigned
- Oct 25, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | C51746 | CA | Primary |
Addresses
Primary practice location
9107 Wilshire Blvd
Suite 200
Beverly Hills, CA 90210-5531
Mailing address
PO Box 5360
Suite 200
Beverly Hills, CA 90209-5360
Phone (310) 909-3916
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26-2850704 | Other | FED TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C51746 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Javad Naficy, MD PA | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460592000000",
"number": "1306920194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5360",
"address_2": "SUITE 200",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902095360",
"telephone_number": "310-909-3916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9107 WILSHIRE BLVD",
"address_2": "SUITE 200",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902105531",
"telephone_number": "310-909-3916",
"fax_number": "310-246-0099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAFICY",
"first_name": "MOHAMAD",
"middle_name": "DJAVAD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2016-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "C51746",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FED TAX ID",
"identifier": "26-2850704",
"state": null
}
],
"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 Apr 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.