NPIMap

Individual provider Active NPI

Amir Pooya Parvinchiha, MD

  • Internal Medicine Physician
  • Sylmar, CA
National Provider Identifier
1417262163
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A113408 Issued in CA
Practice address
12737 Glenoaks Blvd
Suite 26
Sylmar, CA 91342
Phone
(818) 362-1758
Fax
(818) 362-1779
NPI assigned
Aug 18, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A113408 CA Primary

Addresses

Primary practice location

12737 Glenoaks Blvd
Suite 26
Sylmar, CA 91342

Mailing address

12737 Glenoaks Blvd #26
Suite 26
Sylmar, CA 91342
Phone (818) 362-1758

Other practice location 1

27141 Hidaway Ave Ste 106
Canyon Country, CA 91351-4135
Phone (661) 252-8469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130115000057 CA Practitioner - Internal Medicine 0648423004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12737 Glenoaks Blvd
Suite 26
Sylmar, CA 91342-4776
Phone (818) 362-1758

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A113408CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amir Parvinchi MD Inc Internal Medicine CurrentSince Dec 12, 2016 Accepting new patients
Quantum Healthcare Medical Associates Inc. Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
Epic Medical Group,Inc Internal Medicine Past Accepting new patients
Ace Medical Associates, Inc. Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Cogent Healthcare of California, PC Internal Medicine Past Accepting new patients

Locations

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

27141 Hidaway Ave
Ste 106
Santa Clarita, CA 91351
Phone (661) 252-8469

12737 Glenoaks Blvd
Ste 26
Sylmar, CA 91342
Phone (818) 362-1758

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7032/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
A Flying Eagle Home HealthSimi Valley, CA, CCN 059027 Home health agency Contracted Managing Employee (50%) May 15, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1417262163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12737 GLENOAKS BLVD #26",
            "address_2": "SUITE 26",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "91342",
            "telephone_number": "818-362-1758",
            "fax_number": "818-362-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12737 GLENOAKS BLVD",
            "address_2": "SUITE 26",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "91342",
            "telephone_number": "818-362-1758",
            "fax_number": "818-362-1779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27141 Hidaway Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Canyon Country",
            "state": "CA",
            "postal_code": "913514135",
            "country_code": "US",
            "telephone_number": "661-252-8469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARVINCHIHA",
        "first_name": "AMIR",
        "middle_name": "POOYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-18",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A113408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylmar, CA

Sources for this page

Verify at the official NPI Registry.