Organization Active NPI

Safvati Beverly Hills Medical Corporation

  • Family Medicine Physician
  • Pasadena, CA
National Provider Identifier
1346420312
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A88634 Issued in CA
Legal business name
SAFVATI BEVERLY HILLS MEDICAL CORPORATION
Practice address
540 S Marengo Ave
Pasadena, CA 91101-3130
Phone
(626) 397-4910
Fax
(626) 397-4911
NPI assigned
Nov 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Shahriar SafvatiNPI 1013039577
Title
M.D.
Phone
(310) 659-0666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A88634 CA Primary

Addresses

Primary practice location

540 S Marengo Ave
Pasadena, CA 91101-3130

Mailing address

242 S Robertson Blvd
Beverly Hills, CA 90211-2811
Phone (310) 659-0666

Other identifiers 1

IdentifierTypeStateIssuer
A88634OtherCAMED LIC

Other names 1

  • BEVERLY HILLS URGENT CARE Other name

National Provider Directory

National Provider Directory

Locations

822 S Robertson Blvd
Ste 350
Los Angeles, CA 90035
Phone (310) 659-0666

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1346420312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 S ROBERTSON BLVD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112811",
            "telephone_number": "310-659-0666",
            "fax_number": "310-659-8754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 S MARENGO AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911013130",
            "telephone_number": "626-397-4910",
            "fax_number": "626-397-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFVATI BEVERLY HILLS MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "SAFVATI",
        "authorized_official_first_name": "SHAHRIAR",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "310-659-0666"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A88634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED LIC",
            "identifier": "A88634",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEVERLY HILLS URGENT CARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.