Organization Active NPI

Specialized University Pathologists

  • Urology Physician
  • Duarte, CA
National Provider Identifier
1356735989
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G81612 Issued in CA
Legal business name
SPECIALIZED UNIVERSITY PATHOLOGISTS
Practice address
931 Buena Vista St Ste 200B
Duarte, CA 91010-1713
Phone
(424) 302-3307
NPI assigned
Mar 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
Dr. Kiarash Michel, MD
Title
MD/Owner
Phone
(424) 245-7284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X G81612 CA Primary

Addresses

Primary practice location

931 Buena Vista St Ste 200B
Duarte, CA 91010-1713

Mailing address

PO Box 745227
Los Angeles, CA 90074-5227
Phone (424) 245-7284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230222000062 TX Part B Supplier - Clinic/Group Practice 2264752104 Receives reassigned benefits from 1 practitioner
Practice locations: Farmers Branch, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2115860Specialized University Pathologists931 Buena Vista St Ste 200B, Duarte, CA 91010ComplianceMar 29, 2027

National Provider Directory

National Provider Directory

Locations

931 Buena Vista St
Ste 200B
Duarte, CA 91010
Phone (424) 302-3307

8201 Beverly Blvd
Los Angeles, CA 90048
Phone (323) 966-3571

Practitioners & affiliated clinicians

Practitioners 4

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": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1356735989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745227",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900745227",
            "telephone_number": "424-245-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 BUENA VISTA ST STE 200B",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910101713",
            "telephone_number": "424-302-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED UNIVERSITY PATHOLOGISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-20",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "MICHEL",
        "authorized_official_first_name": "KIARASH",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "424-245-7284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "G81612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duarte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.