Individual provider Active NPI

Nima M Gharavi, M.D./PH.D.

  • Dermatology Physician
  • Calabasas, CA
National Provider Identifier
1366683948
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A110302 Issued in CA
Practice address
22287 Mulholland Hwy
Suite 253
Calabasas, CA 91302-5157
Phone
(310) 892-7122
NPI assigned
Mar 11, 2009
Last updated
Aug 13, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A110302 CA Primary
MOHS-Micrographic Surgery Physician 207ND0101X A110302 CA

Addresses

Primary practice location

22287 Mulholland Hwy
Suite 253
Calabasas, CA 91302-5157

Mailing address

22287 Mulholland Hwy
Suite 253
Calabasas, CA 91302-5157

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
I20130529000319 CA Practitioner - Dermatology 2769620012 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, Geffen School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

16260 Ventura Blvd
Suite 530
Encino, CA 91436-2285
Phone (818) 788-4022

8635 W 3Rd St
Suite 465W
Los Angeles, CA 90048-6111
Phone (310) 423-0674

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-1447

8723 Alden Dr
Suite 260
Los Angeles, CA 90048-1804
Phone (310) 248-8299

99 N la Cienega Blvd
Suite 202
Beverly Hills, CA 90211-2285
Phone (310) 385-3200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision350
Removal of tissue1-10
Removal of skin lesions192
Removal of skin cancer1589
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy185

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phillip H a Lee MD and Center for Advanced Dermatology CurrentSince Jan 11, 2016 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Jul 1, 2014 Accepting new patients
Indianer, Lask & Rosenzweig, M.D.'S, Dermatology Group, a Medical Corp CurrentSince Jul 1, 2013 Accepting new patients
Leonard H Kim MD Medical Corp CurrentSince May 10, 2018 Accepting new patients
Csi Medical Group Dermatology Current Accepting new patients
JCK Medical Corp Dermatology PastSince Mar 28, 2021 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
John J. Guagenti, M.D. Inc. Past Accepting new patients

Locations

150 N Robertson Blvd
Ste 304
Beverly Hills, CA 90211
Phone (310) 289-0009

16260 Ventura Blvd
Ste 530
Encino, CA 91436
Phone (818) 788-4022

1510 S Central Ave
Ste 470
Glendale, CA 91204
Phone (818) 242-0035

2080 Century Park E
Ste 401
Los Angeles, CA 90067
Phone (310) 289-0009

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

245 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 333-7773

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

4201 Torrance Blvd
Ste 640
Torrance, CA 90503
Phone (310) 375-9994

Interoperability endpoints

  • Direct secure messaging: ngharavi102785@direct.cshs.org

Organizations & group practices 9

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": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1366683948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22287 MULHOLLAND HWY",
            "address_2": "SUITE 253",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913025157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22287 MULHOLLAND HWY",
            "address_2": "SUITE 253",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913025157",
            "telephone_number": "310-892-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHARAVI",
        "first_name": "NIMA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D./PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-11",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A110302",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A110302",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

Verify at the official NPI Registry.