Keon Mahmoud Parsa, MD

Primary specialty

Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X

License

A195971 Issued in CA

Practice address

8641 Wilshire Blvd Ste 305
Beverly Hills, CA 90211-2921

Phone

(310) 772-2866

NPI assigned

Mar 26, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1477058261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5739 DELCO AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913675416",
            "telephone_number": "818-635-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8641 WILSHIRE BLVD STE 305",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112921",
            "telephone_number": "310-772-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSA",
        "first_name": "KEON",
        "middle_name": "MAHMOUD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "CA",
            "license": "A195971",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Jay Parks, M.D.
• Pat Parks, PA -C
• Parsa MD Inc
• Parsa T Zadeh DDS PC
• Kambiz K Parsa, MD
• Brian C Parsons, DPT
• Panteha Partovi, PA
• Parviz Fahimian MD, Inc.
• Joni Fay Pastor, PH.D.
• Anita C Patel, M.D.

• Plastic Surgery Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.