Individual provider Active NPI

Soheil Sol Marghzar, AU.D.

  • Audiologist
  • Culver City, CA
National Provider Identifier
1386711687
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU1530 Issued in CA
Practice address
3831 Hughes Ave
Suite 600 B
Culver City, CA 90232-2751
Phone
(310) 559-4884
Fax
(310) 204-3175
NPI assigned
Nov 29, 2006
Last updated
May 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU1530 CA Primary

Addresses

Primary practice location

3831 Hughes Ave
Suite 600 B
Culver City, CA 90232-2751

Mailing address

3831 Hughes Ave
Suite 600 B
Culver City, CA 90232-2751
Phone (310) 559-4884

Other identifiers 5

IdentifierTypeStateIssuer
AU0015300MedicaidCA
ZZZ51444ZOtherCABLUE SHIELD CULVER CITY
ZZZ42713ZOtherCABLUE SHIELD BEVERLY HILLS
AU0015301MedicaidCA
GAU000240MedicaidCA

Other names 1

  • Sol Marghzar Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051121000682 CA Practitioner - Qualified Audiologist 4880682418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sol Marghzar, M.S., Ccca, Inc.Group PAC ID 0042356578, 3 clinicians

Practice addresses (Care Compare)

19100 Ventura Blvd
Suite 16
Tarzana, CA 91356-3234
Phone (818) 609-1331

8920 Wilshire Blvd
Beverly Hills, CA 90211-2004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1530CAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Sol Marghzar, M.S., Ccca, Inc. Audiologist CurrentSince Dec 1, 1993 Accepting new patients
Millennium Multispecialty Medical Group Inc Past Accepting new patients

Locations

8920 Wilshire Blvd
Ste 404
Beverly Hills, CA 90211
Phone (310) 659-1212

3831 Hughes Ave
Ste 600B
Culver City, CA 90232
Phone (310) 559-4884

9702 Venice Blvd
#A
Culver City, CA 90232
Phone (310) 559-4884

19100 Ventura Blvd
Ste 16
Tarzana, CA 91356
Phone (818) 606-1471

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1386711687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE",
            "address_2": "SUITE 600 B",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322751",
            "telephone_number": "310-559-4884",
            "fax_number": "310-204-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE",
            "address_2": "SUITE 600 B",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322751",
            "telephone_number": "310-559-4884",
            "fax_number": "310-204-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGHZAR",
        "first_name": "SOHEIL",
        "middle_name": "SOL",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU1530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AU0015300",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD CULVER CITY",
            "identifier": "ZZZ51444Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD BEVERLY HILLS",
            "identifier": "ZZZ42713Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AU0015301",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GAU000240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOL",
            "last_name": "MARGHZAR",
            "credential": "AUD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.