Individual provider Active NPI

Edwin Amirianfar, DO

  • Physical Medicine & Rehabilitation Physician
  • Los Angeles, CA
National Provider Identifier
1417416272
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
20A22377 Issued in CA
Practice address
2080 Century Park E Ste 300
Los Angeles, CA 90067-2006
Phone
(424) 363-1000
NPI assigned
Mar 19, 2019
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 05597 KY
Physical Medicine & Rehabilitation Physician 208100000X 20A22377 CA Primary

Addresses

Primary practice location

2080 Century Park E Ste 300
Los Angeles, CA 90067-2006

Mailing address

1548 Kelton Ave
Los Angeles, CA 90024-5504

Other practice location 1

134 Heartland Dr
Elizabethtown, KY 42701-2778
Phone (270) 769-3100

Other practice location 2

1600 N Rose Ave
Oxnard, CA 93030-3722
Phone (805) 988-2500

Other practice location 3

23845 McBean Pkwy
Valencia, CA 91355-2001
Phone (661) 200-2000

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
I20240531003083 CA Practitioner - Physical Medicine and Rehabilitation 4587027776 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David Taftian DO IncGroup PAC ID 4385980358, 18 clinicians
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

11162 Palm Terrace LN
Riverside, CA 92505-2338
Phone (951) 687-7330

1600 N Rose Ave
Oxnard, CA 93030-3722
Phone (805) 988-2500

2080 Century Park E
Suite 300
Los Angeles, CA 90067-2006
Phone (310) 423-6400

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

Merit-based Incentive Payment System (MIPS)

Final score
85.3 of 100Reported as group
Quality
90
Improvement activities
40
Cost
31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A22377CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation Multi-Specialty CurrentSince Jun 1, 2024 Accepting new patients
David Taftian DO, Inc Multi-Specialty CurrentSince Jun 12, 2024 Accepting new patients

Locations (25 of 60)

1601 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 445-2170

14475 Garden View Ln
Baldwin Park, CA 91706
Phone (626) 962-7095

1900 Grismer Ave
Burbank, CA 91504
Phone (818) 843-2780

10610 Owensmouth Ave
Chatsworth, CA 91311
Phone (818) 882-3200

21820 Craggy View St
Chatsworth, CA 91311
Phone (818) 882-2833

11900 Ramona Blvd
El Monte, CA 91732
Phone (626) 442-5721

1208 S Central Ave
Glendale, CA 91204
Phone (818) 246-5516

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

409 W Glenoaks Blvd
Glendale, CA 91202
Phone (818) 240-3400

413 E Cypress St
Glendale, CA 91205
Phone (818) 244-2323

630 W Broadway
Glendale, CA 91204
Phone (818) 247-3395

1033 E Arrow Hwy
Glendora, CA 91740
Phone (562) 947-7817

10626 Balboa Blvd
Granada Hills, CA 91344
Phone (818) 368-2802

16123 Chatsworth St
Granada Hills, CA 91344
Phone (818) 891-1745

1515 N Alexandria Ave
Los Angeles, CA 90027
Phone (214) 986-3010

2070 Century Park E
Los Angeles, CA 90067
Phone (310) 772-4100

2080 Century Park E
Ste 300
Los Angeles, CA 90067
Phone (310) 423-6400

580 S San Vicente Blvd
Los Angeles, CA 90048
Phone (323) 782-1500

8167 W 3rd St
Los Angeles, CA 90048
Phone (323) 655-2023

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

1035 W Beverly Blvd
Montebello, CA 90640
Phone (323) 721-6589

2123 Verdugo Blvd
Montrose, CA 91020
Phone (818) 249-3925

10425 Magnolia Blvd
North Hollywood, CA 91601
Phone (818) 980-3872

13000 Victory Blvd
North Hollywood, CA 91606
Phone (818) 817-6377

17300 Roscoe Blvd
Northridge, CA 91325
Phone (818) 344-2042

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19088/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1417416272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1548 KELTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672006",
            "telephone_number": "424-363-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 Heartland Dr",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427012778",
            "country_code": "US",
            "telephone_number": "270-769-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 N Rose Ave",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930303722",
            "country_code": "US",
            "telephone_number": "805-988-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23845 McBean Pkwy",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913552001",
            "country_code": "US",
            "telephone_number": "661-200-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMIRIANFAR",
        "first_name": "EDWIN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KY",
            "license": "05597",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A22377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.