Individual provider Active NPI

Parisa Khavari, M.D.

  • Obstetrics & Gynecology Physician
  • Warren, OH
National Provider Identifier
1346226180
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G181173 Issued in CA
Practice address
627 Eastland Ave SE Ste 302
Warren, OH 44484-4501
Phone
(330) 841-4975
Fax
(330) 841-4979
NPI assigned
Dec 22, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G181173 CA Primary

Addresses

Primary practice location

627 Eastland Ave SE Ste 302
Warren, OH 44484-4501

Mailing address

627 Eastland Ave SE Ste 302
Warren, OH 44484-4501
Phone (330) 841-4975

Other identifiers 1

IdentifierTypeStateIssuer
0935680MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120607000101 OH Practitioner - Obstetrics/Gynecology 8022272830 Reassigns benefits to 1 organization
I20250227003539 CA Practitioner - Obstetrics/Gynecology 8022272830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Ohio State University College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magella Medical Group IncGroup PAC ID 7214827591, 23 clinicians

Practice addresses (Care Compare)

24451 Health Ctr Dr
Laguna Hills, CA 92653-3689
Phone 80024338397746

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G181173CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
1227 East Market Street, Inc. CurrentSince Sep 1, 1993 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jul 1, 2023 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jul 1, 2023 Accepting new patients
Magella Medical Group, Inc. Obstetrics & Gynecology CurrentSince Feb 1, 2025 Accepting new patients

Locations

24451 Health Center Dr
Laguna Hills, CA 92653
Phone (949) 452-3573

2865 Atlantic Ave
Ste 110
Long Beach, CA 90806
Phone (562) 933-0590

4281 Katella Ave
Ste 223
Los Alamitos, CA 90720
Phone (562) 429-7100

File 50978
Los Angeles, CA 90074

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

627 Eastland Ave SE
Ste 302
Warren, OH 44484
Phone (330) 841-4975

1227 E Market St
Warren, OH 44483
Phone (330) 393-1501

Interoperability endpoints

  • Direct secure messaging: pkhavari892894@direct.memorialcare.org
  • Direct secure messaging: pkhavari714426@hisp.ehr.sutterhealth.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1346226180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 EASTLAND AVE SE STE 302",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844501",
            "telephone_number": "330-841-4975",
            "fax_number": "330-841-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 EASTLAND AVE SE STE 302",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844501",
            "telephone_number": "330-841-4975",
            "fax_number": "330-841-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAVARI",
        "first_name": "PARISA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G181173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0935680",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.