Active NPI
Kiarash Paydar, M.D.
- Anesthesiology Physician
- Glendale, CA
National Provider Identifier
1316110455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A119688
- Practice address
- 1420 S Central Ave
Glendale, CA 91204-2508 - Phone
- (818) 502-1900
- Fax
- (818) 502-4738
- NPI assigned
- Apr 9, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A119688 | CA | Primary |
| Anesthesiology Physician | 207L00000X | 53787 | TN |
Addresses
Primary practice location
1420 S Central Ave
Glendale, CA 91204-2508
Mailing address
PO Box 5486
Orange, CA 92863-5486
Phone (818) 550-0900
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 |
|---|---|---|---|
| A119688 | CA | MD | Anesthesiology Physician |
| 53787 | TN | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475452800000",
"number": "1316110455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5486",
"city": "ORANGE",
"state": "CA",
"postal_code": "928635486",
"telephone_number": "818-550-0900",
"fax_number": "303-953-8260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 S CENTRAL AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912042508",
"telephone_number": "818-502-1900",
"fax_number": "818-502-4738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYDAR",
"first_name": "KIARASH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-09",
"last_updated": "2016-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A119688",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TN",
"license": "53787",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.