Individual provider Active NPI

Ohara Aivaz

  • Dermatology Physician
  • Washington, DC
National Provider Identifier
1487946661
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A145230 Issued in CA
Practice address
110 Irving St NW
Department of Internal Medicine/Dermatology
Washington, DC 20010-3017
Phone
(202) 877-6654
Fax
(202) 877-3288
NPI assigned
May 6, 2011
Last updated
Dec 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Dermatology Physician 207N00000X A145230 CA Primary

Addresses

Primary practice location

110 Irving St NW
Department of Internal Medicine/Dermatology
Washington, DC 20010-3017

Mailing address

110 Irving St NW
Department of Internal Medicine/Dermatology
Washington, DC 20010-3017
Phone (202) 877-6654

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
I20161222001674 CA Practitioner - Dermatology 5496036899 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Georgetown University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 S Beverly Dr
Suite 380
Beverly Hills, CA 90212-4424
Phone (424) 285-0999

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions207
Skin biopsy127

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A145230CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Narineh Zohrabian MD Inc Dermatology CurrentSince Jul 31, 2023 Accepting new patients
Ohara Aivaz MD a Professional Corporation Dermatology CurrentSince Feb 14, 2024 Accepting new patients

Locations

400 S Beverly Dr
Ste 380
Beverly Hills, CA 90212
Phone (424) 285-0999

536 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 449-2353

800 Fairmount Ave
Ste 312
Pasadena, CA 91105
Phone (626) 568-8838

Interoperability endpoints

  • Direct secure messaging: oaivaz@oharaderm.emadirect.md

Organizations & group practices 2

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": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1487946661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 IRVING ST NW",
            "address_2": "DEPARTMENT OF INTERNAL MEDICINE/DERMATOLOGY",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103017",
            "telephone_number": "202-877-6654",
            "fax_number": "202-877-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 IRVING ST NW",
            "address_2": "DEPARTMENT OF INTERNAL MEDICINE/DERMATOLOGY",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103017",
            "telephone_number": "202-877-6654",
            "fax_number": "202-877-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIVAZ",
        "first_name": "OHARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-06",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A145230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.