Individual provider Active NPI

Pouya Benyamini, M.D.

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1457644296
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A122804 Issued in CA
Practice address
5901 W Olympic Blvd Ste 504
Los Angeles, CA 90036-4633
Phone
(310) 526-0290
Fax
(310) 526-0290
NPI assigned
May 26, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A122804 CA Primary

Addresses

Primary practice location

5901 W Olympic Blvd Ste 504
Los Angeles, CA 90036-4633

Mailing address

PO Box 16162
Beverly Hills, CA 90209-2162
Phone (310) 526-0290

Other practice location 1

8631 W 3rd St
Suite 235E
Los Angeles, CA 90048-5901
Phone (310) 652-4411

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
I20161101002688 CA Practitioner - General Surgery 8022306562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5901 W Olympic Blvd
Suite 307
Los Angeles, CA 90036-4664
Phone (310) 526-0290

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
93.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A122804CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pouya Benyamini MD Inc Surgery CurrentSince Oct 31, 2017 Accepting new patients

Locations

5901 W Olympic Blvd
Ste 307
Los Angeles, CA 90036
Phone (310) 642-7774

5901 W Olympic Blvd
Ste 504
Los Angeles, CA 90036
Phone (310) 477-8400

1300 N Vermont Ave
Ste 704
Los Angeles, CA 90027
Phone (323) 462-0911

8631 W 3rd St
Ste 235E
Los Angeles, CA 90048
Phone (310) 358-9008

Organizations & group practices 1

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 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": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1457644296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16162",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902092162",
            "telephone_number": "310-526-0290",
            "fax_number": "310-526-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 W OLYMPIC BLVD STE 504",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364633",
            "telephone_number": "310-526-0290",
            "fax_number": "310-526-0290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8631 W 3rd St",
            "address_2": "Suite 235E",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900485901",
            "country_code": "US",
            "telephone_number": "310-652-4411",
            "fax_number": "310-562-2735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENYAMINI",
        "first_name": "POUYA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A122804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.