Individual provider Active NPI

Kamran Safvati, M.D.

  • Specialist
  • Tarzana, CA
National Provider Identifier
1497782387
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A66831 Issued in CA
Practice address
18356 Clark St
Suite 101
Tarzana, CA 91356-3502
Phone
(818) 609-1991
Fax
(818) 609-1949
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A66831 CA Primary

Addresses

Primary practice location

18356 Clark St
Suite 101
Tarzana, CA 91356-3502

Mailing address

PO Box 573219
Tarzana, CA 91357-3219
Phone (818) 609-1991

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
I20100802001059 CA Practitioner - Internal Medicine 9335125186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18384 Clark St
Suite 113
Tarzana, CA 91356-3502
Phone (818) 609-1991

Hospital & facility affiliations

  • Wellness Home Health Care Inc Home health agency, Montrose, CA, CCN 059018

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kamran Safvati, M.D., Inc. CurrentSince Nov 1, 2002 Accepting new patients
Safvati Beverly Hills Medical Corporation Past Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients

Locations

18384 Clark St
Ste 113
Tarzana, CA 91356
Phone (818) 609-1991

18356 Clark St
Ste 101
Tarzana, CA 91356
Phone (818) 609-1991

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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 1

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1497782387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 573219",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913573219",
            "telephone_number": "818-609-1991",
            "fax_number": "818-609-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18356 CLARK ST",
            "address_2": "SUITE 101",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563502",
            "telephone_number": "818-609-1991",
            "fax_number": "818-609-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFVATI",
        "first_name": "KAMRAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A66831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.