Babak Dadvand, M.D., Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A95211 Issued in CA

Legal business name

BABAK DADVAND, M.D., INC.

Practice address

9201 W Sunset Blvd
Ste M-130
Los Angeles, CA 90069-3701

Phone

(310) 278-4200

Fax

(310) 276-6801

NPI assigned

Dec 8, 2008

Organization subpart

No

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

Authorized official

Name

Babak Dadvand, M.D.NPI 1275716805

Title

President

Phone

(800) 539-9945

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Babak Dadvand, M.D.

  • Specialist
  • Los Angeles, CA
  • NPI 1275716805
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317340800000",
    "number": "1326283151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2904",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902132904",
            "telephone_number": "800-539-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 W SUNSET BLVD",
            "address_2": "STE M-130",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900693701",
            "telephone_number": "310-278-4200",
            "fax_number": "310-276-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BABAK DADVAND, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-08",
        "last_updated": "2011-09-30",
        "status": "A",
        "authorized_official_last_name": "DADVAND",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-539-9945",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A95211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "A95211",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Christina Babakhani
• Ryan Aaron Babakhani
• Ala Babakhanians, PHARMD
• Erica Babalola, CPNP-PC

• Medical Specialty Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.