Roya H Ghafouri MD Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A115937 Issued in CA

Legal business name

ROYA H GHAFOURI MD INC

Practice address

9735 Wilshire Blvd Ste 421
Beverly Hills, CA 90212-2113

Phone

(310) 990-0905

Fax

(424) 204-1459

NPI assigned

Sep 10, 2015

Last updated

Jan 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Roya GhafouriNPI 1790943355

Title

President

Phone

(310) 867-1270

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roya Ghafouri, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Beverly Hills, CA
  • NPI 1790943355
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579478400000",
    "number": "1437527199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9919 ANTHONY PL",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902102001",
            "telephone_number": "310-867-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD STE 421",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122113",
            "telephone_number": "310-990-0905",
            "fax_number": "424-204-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYA H GHAFOURI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A",
        "authorized_official_last_name": "GHAFOURI",
        "authorized_official_first_name": "ROYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-867-1270",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A115937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.