Individual provider Active NPI

Artur Fahradyan, MD

  • Plastic Surgery Physician
  • Westlake Village, CA
National Provider Identifier
1366885345
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A137921 Issued in CA
Practice address
911 Hampshire Rd Ste 1
Westlake Village, CA 91361-2833
Phone
(805) 418-9891
NPI assigned
Apr 9, 2013
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X A137921 CA Primary
Surgery Physician 208600000X 256519 MA

Addresses

Primary practice location

911 Hampshire Rd Ste 1
Westlake Village, CA 91361-2833

Mailing address

911 Hampshire Rd Ste 1
Westlake Village, CA 91361-2833
Phone (805) 885-0801

Other practice location 1

300 Hillmont Ave
Bldg. 340, Suite 401
Ventura, CA 93003
Phone (805) 641-0141

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
I20220908003420 CA Practitioner - Plastic and Reconstructive Surgery 8729462890 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of VenturaGroup PAC ID 7911810171, 340 clinicians

Practice addresses (Care Compare)

300 Hillmont Ave
Ventura, CA 93003-1651

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
64.51
Promoting interoperability
100
Improvement activities
40
Cost
72.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A137921CAMDPlastic Surgery Physician
256519MAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Los Angeles Medical Group, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Shriners Hospitals for Children CurrentSince Dec 16, 2023 Accepting new patients
County of Ventura CurrentSince Aug 28, 2023 Accepting new patients
County of Ventura Current Accepting new patients
County of Ventura CurrentSince Aug 28, 2023 Accepting new patients
Shriners Hospitals for Children CurrentSince Dec 16, 2023 Accepting new patients
Childrens Hospital of Los Angeles Past Accepting new patients
Shriners Hospitals for Children Past Accepting new patients

Locations

3701 Wilshire Blvd
Ste 600
Los Angeles, CA 90010
Phone (323) 361-3550

4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122

909 S Fair Oaks Ave
Pasadena, CA 91105
Phone (213) 388-3151

909 S Fair Oaks Ave
Ste 100
Pasadena, CA 91105

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

300 Hillmont Ave
Bldg 340
Ventura, CA 93003
Phone (805) 652-6100

800 S Victoria Ave
#L4640
Ventura, CA 93009

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: afahradyan56867@cityofhope.direct-ci.com

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 1

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": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1366885345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 HAMPSHIRE RD STE 1",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612833",
            "telephone_number": "805-885-0801",
            "fax_number": "805-885-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 HAMPSHIRE RD STE 1",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612833",
            "telephone_number": "805-418-9891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Hillmont Ave",
            "address_2": "Bldg. 340, Suite 401",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "93003",
            "country_code": "US",
            "telephone_number": "805-641-0141",
            "fax_number": "805-641-0430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAHRADYAN",
        "first_name": "ARTUR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-09",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A137921",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "256519",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.