Mark Ganjianpour, M.D.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

A71208 Issued in CA

Practice address

6330 San Vicente Blvd
Suite 310
Los Angeles, CA 90048-5425

Phone

(310) 855-0751

Fax

(310) 358-2453

NPI assigned

Mar 14, 2006

Last updated

Jan 29, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

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 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• M Ganjianpour, M.D. a Professional Corporation

  • Specialist
  • Los Angeles, CA
  • NPI 1770806184

  O20100930016896

  Same enrollment

Specialty

Orthopedic Surgery

Education

University of Florida College of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

M Ganjianpour, M.D. a Professional CorporationGroup PAC ID 3577769058, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Santa Home Health Care, Inc. Home health agency, Los Angeles, CA, CCN 059430
• Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• M Ganjianpour, M.D. a Professional Corporation

  • Specialist
  • Los Angeles, CA
  • NPI 1770806184

  Sports Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Tower Orthopedics and Sports Medicine

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
  • NPI 1629273818
  NPD Authorized official
• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1639172372
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1639172372
  Care Compare affiliation
• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • West Hollywood, CA
  • NPI 1891940326
  Care Compare affiliation
• Santa Home Health Care Inc.

  • Home Health Agency
  • Los Angeles, CA
  • NPI 1730322884
  Care Compare affiliation

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1447229570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 SAN VICENTE BLVD",
            "address_2": "SUITE 310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485425",
            "telephone_number": "310-855-0751",
            "fax_number": "310-358-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 SAN VICENTE BLVD",
            "address_2": "SUITE 310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485425",
            "telephone_number": "310-855-0751",
            "fax_number": "310-358-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANJIANPOUR",
        "first_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A71208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00068539",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "346434300",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A712080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gulnigor Ganieva
• Ivana Lyn Ganihong
• Ganji Dental Corporation (Washington Dental Services)
• Shaina Ganjian, MD
• Shiva Ganjian, DDS
• Akaansha Ganju, MD
• Ameeta Ganju, MD
• Emily Gann, LCSW
• Catherine Anne Gannage, MD
• Joseph Stiles Gannett, MD

• Sports Medicine (Orthopaedic Surgery) Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.