Individual provider Active NPI

Pouyan Famini, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Encino, CA
National Provider Identifier
1326270422
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A114529 Issued in CA
Practice address
15503 Ventura Blvd Ste 170
Encino, CA 91436-3145
Phone
(818) 461-8148
Fax
(818) 461-8106
NPI assigned
Aug 22, 2009
Last updated
Dec 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A114529 CA Primary
Internal Medicine Physician 207R00000X A114529 CA

Addresses

Primary practice location

15503 Ventura Blvd Ste 170
Encino, CA 91436-3145

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-8707

Other practice location 1

1245 16th St Ste 309
Santa Monica, CA 90404-1239
Phone (310) 319-4377

Other practice location 2

1399 Roxbury Dr Ste 100
Los Angeles, CA 90035-4709
Phone (310) 557-2273

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141222000216 CA Practitioner - EndocrinologyPractitioner - Internal Medicine 3577886647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Albany Medical College of Union University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

900 Veteran Ave
Suite 14 171
Los Angeles, CA 90024-2703
Phone (310) 825-8173

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
79.37
Promoting interoperability
100
Improvement activities
40
Cost
73.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A114529CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pouyan Famini, M.D., a Medical Corporation Internal Medicine Current Accepting new patients
The Regents of the University of California Internal Medicine CurrentSince Jan 1, 2017 Accepting new patients
Famini and Gluckman, M.D.S, a Professional Medical Corporation Internal Medicine Current Accepting new patients
The Regents of the University of California CurrentSince Jan 1, 2017 Accepting new patients
UCLA Medical Group Internal Medicine Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
The Regents of the University of California Past Accepting new patients

Locations

15503 Ventura Blvd
Ste 170
Encino, CA 91436
Phone (818) 377-3820

100 UCLA Medical Plz
Ste 310
Los Angeles, CA 90024
Phone (310) 267-7838

1399 Roxbury Dr
Ste 100
Los Angeles, CA 90035
Phone (310) 557-2273

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

900 Veteran Ave
Ste 14171
Los Angeles, CA 90024
Phone (310) 825-8173

File 55737
Los Angeles, CA 90074

19950 Rinaldi St
Ste 300
Porter Ranch, CA 91326
Phone (818) 271-2400

1245 16th St
Ste 309
Santa Monica, CA 90404
Phone (310) 319-4371

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

Interoperability endpoints

  • Direct secure messaging: pfamini511521@direct.uclahealth.org

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1250899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1326270422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15503 VENTURA BLVD STE 170",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914363145",
            "telephone_number": "818-461-8148",
            "fax_number": "818-461-8106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1245 16th St Ste 309",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904041239",
            "country_code": "US",
            "telephone_number": "310-319-4377",
            "fax_number": "310-319-4425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1399 Roxbury Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900354709",
            "country_code": "US",
            "telephone_number": "310-557-2273",
            "fax_number": "310-557-3450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAMINI",
        "first_name": "POUYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-22",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A114529",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A114529",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.