Individual provider Active NPI

Behrod Babri Katebian

  • Anesthesiology Physician
  • Los Angeles, CA
National Provider Identifier
1346781762
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A157446 Issued in CA
Practice address
2051 Marengo St
Los Angeles, CA 90033-1352
Phone
(805) 906-9958
NPI assigned
Mar 17, 2017
Last updated
Jul 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A157446 CA Primary

Addresses

Primary practice location

2051 Marengo St
Los Angeles, CA 90033-1352

Mailing address

802 Bright Star St
Thousand Oaks, CA 91360-1003
Phone (805) 906-9958

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
I20210824002005 CA Practitioner - Anesthesiology 7012312440 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Southern California Keck School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simi Valley Anesthesia Medical GroupGroup PAC ID 2062454804, 26 clinicians

Practice addresses (Care Compare)

1500 E Chevy Chase Dr
Suite 201
Glendale, CA 91206-4199
Phone (818) 863-4099

1509 Wilson Ter
Glendale, CA 91206-4007
Phone (818) 409-8000

2975 Sycamore Dr
Simi Valley, CA 93065-1201
Phone (805) 955-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
78.77
Promoting interoperability
92
Improvement activities
40
Cost
48

Merit-based Incentive Payment System (MIPS)

Final score
90.02 of 100Reported as group
Quality
69.82
Promoting interoperability
95
Improvement activities
40
Cost
67.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A157446CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glendale Adventist Medical Center CurrentSince Jan 17, 2023 Accepting new patients
Conejo Los Robles Anesthesiology Medical Group, Inc. Anesthesiology CurrentSince Jul 1, 2021 Accepting new patients
Glendale Adventist Medical Center CurrentSince Jan 17, 2023 Accepting new patients
Simi Valley Anesthesia Medical Group Anesthesiology CurrentSince Oct 25, 2023 Accepting new patients

Locations

1500 E Chevy Chase Dr
Ste 201
Glendale, CA 91206
Phone (818) 863-4099

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1920 E Los Angeles Ave
Simi Valley, CA 93065
Phone (805) 306-8800

2750 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 955-6000

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

550 Saint Charles Dr
Ste 101
Thousand Oaks, CA 91360
Phone (805) 557-7050

371 Van Ness Way
Ste 210
Torrance, CA 90501

Organizations & group practices 5

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 2

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": "1489708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1346781762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 BRIGHT STAR ST",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601003",
            "telephone_number": "805-906-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 MARENGO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331352",
            "telephone_number": "805-906-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATEBIAN",
        "first_name": "BEHROD",
        "middle_name": "BABRI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-17",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A157446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.