Active NPI
Parviz Javdan, M.D.
- Gastroenterology Physician
- Los Angeles, CA
National Provider Identifier
1376640235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A34960
- Practice address
- 1762 Westwood Blvd
Suite 300
Los Angeles, CA 90024-5632 - Phone
- (310) 441-2000
- Fax
- (310) 441-2020
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A34960 | CA | Primary |
Addresses
Primary practice location
1762 Westwood Blvd
Suite 300
Los Angeles, CA 90024-5632
Mailing address
1762 Westwood Blvd
Suite 300
Los Angeles, CA 90024-5632
Phone (310) 441-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A34960 | CA | MD | Gastroenterology Physician |
| 34960 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260316800000",
"number": "1376640235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1762 WESTWOOD BLVD",
"address_2": "SUITE 300",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900245632",
"telephone_number": "310-441-2000",
"fax_number": "310-441-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1762 WESTWOOD BLVD",
"address_2": "SUITE 300",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900245632",
"telephone_number": "310-441-2000",
"fax_number": "310-441-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAVDAN",
"first_name": "PARVIZ",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2009-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A34960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.