Individual provider Active NPI

Helia Laftavi

  • Medical Physician Assistant
  • West Hollywood, CA
National Provider Identifier
1477954089
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
54308 Issued in CA
Practice address
8264 Santa Monica Blvd
West Hollywood, CA 90046-5915
Phone
(323) 522-2222
NPI assigned
Sep 15, 2014
Last updated
Oct 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 54308 CA Primary

Addresses

Primary practice location

8264 Santa Monica Blvd
West Hollywood, CA 90046-5915

Mailing address

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-1712

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180508001759 CA Practitioner - Physician Assistant 8527288810 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brentview Medical IncGroup PAC ID 6608990742, 11 clinicians

Practice addresses (Care Compare)

11611 San Vicente Blvd
Los Angeles, CA 90049-5106
Phone (310) 820-0013

8264 Santa Monica Blvd
West Hollywood, CA 90046-5915
Phone (323) 522-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
54308CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brentview Medical Inc. CurrentSince Jun 13, 2020 Accepting new patients
Skinpeccable Inc. Current Accepting new patients
Mend Medical Inc PastSince Nov 5, 2019 Accepting new patients
BVM Therapy Inc. Past Accepting new patients
Synergy Observation Specialists PC Past Accepting new patients

Locations

11611 San Vicente Blvd
Ste GF1
Los Angeles, CA 90049
Phone (310) 820-0013

11611 San Vicente Blvd
Los Angeles, CA 90049
Phone (310) 447-6060

8264 Santa Monica Blvd
West Hollywood, CA 90046
Phone (323) 522-2222

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25159/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1477954089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-444-1712",
            "fax_number": "216-444-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8264 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465915",
            "telephone_number": "323-522-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFTAVI",
        "first_name": "HELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "54308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.