NPIMap

Individual provider Active NPI

Siavash Karimian, MD, ABFM

  • Family Medicine Physician
  • Palm Desert, CA
National Provider Identifier
1437288073
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A98867 Issued in CA
Practice address
72650 Fred Waring Dr Ste 106
Palm Desert, CA 92260-5007
Phone
(760) 230-9990
Fax
(760) 636-1270
NPI assigned
Mar 2, 2007
Last updated
Jul 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD2007-0234 NM
Family Medicine Physician 207Q00000X A98867 CA Primary

Addresses

Primary practice location

72650 Fred Waring Dr Ste 106
Palm Desert, CA 92260-5007

Mailing address

1621 N. Washington Avenue
Roswell, NM 88201
Phone (575) 625-8430

Other practice location 1

1621 N Washington Ave
Roswell, NM 88201-3272
Phone (575) 625-8430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20090727000792 NM Practitioner - Family Practice 5092864355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Siavash Karimian MD of New Mexico PC Dba Roswell MedicoGroup PAC ID 6002969847, 3 clinicians

Practice addresses (Care Compare)

1621 N Washington Ave
Roswell, NM 88201-3272
Phone (575) 625-8430

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions340

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A98867CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Siavash Karimian MD of New Mexico PC Dba Roswell Medico Family Medicine CurrentSince Jun 14, 2009 Accepting new patients
Pearson Heart Clinic, LLC Past Accepting new patients
Lakeview Christian Home of the Southwest, Inc. Family Medicine Past Accepting new patients
Honest Dermatology Medical Group PastSince Jun 23, 2013 Accepting new patients

Locations

1621 N Washington Ave
Roswell, NM 88201
Phone (505) 625-8430

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
Northgate Unit of Lakeview Christian HomeCarlsbad, NM, CCN 325087 Skilled nursing facility Adp of the SNF Jan 27, 2025

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 4

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 6

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1437288073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 N. WASHINGTON AVENUE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "88201",
            "telephone_number": "575-625-8430",
            "fax_number": "575-625-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72650 FRED WARING DR STE 106",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922605007",
            "telephone_number": "760-230-9990",
            "fax_number": "760-636-1270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1621 N Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "882013272",
            "country_code": "US",
            "telephone_number": "575-625-8430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARIMIAN",
        "first_name": "SIAVASH",
        "name_prefix": "Dr.",
        "credential": "MD, ABFM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2007-0234",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A98867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.