Keyian Z Paydar, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A74742 Issued in CA

Practice address

1401 Avocado Ave Ste 301
Newport Beach, CA 92660-8729

Phone

(949) 755-0575

Fax

(949) 755-0580

NPI assigned

Mar 27, 2007

Last updated

Jan 25, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2023 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Newport Aesthetic Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Newport Beach, CA
  • NPI 1164365862
  NPD Authorized official
• Keyian Paydar, MD, PC

  dba Paydar Plastic Surgery

  • Plastic Surgery Physician
  • Newport Beach, CA
  • NPI 1700405586
  Authorized official Same address or phone
• Bristol Park Medical Group, Inc

  • Family Medicine Physician
  • Costa Mesa, CA
  • NPI 1043266760
  NPD (past)
• University of California Irvine

  dba Uci Health

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1689608150
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1578681573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE STE 301",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608729",
            "telephone_number": "949-755-0575",
            "fax_number": "949-755-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE STE 301",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926608729",
            "telephone_number": "949-755-0575",
            "fax_number": "949-755-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYDAR",
        "first_name": "KEYIAN",
        "middle_name": "Z",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A74742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malcolm David Paul, M.D.
• Suchismita Paul, M.D.
• Petra Paule, M.D.
• Marc L Paulsen, M.D.
• Natasha Pavlovich
• Alyssa Nicole Payumo
• Mariana Paz Melendez
• Johnathan Edward Paz
• PCH Healthcare
• Sara Peacock

• Plastic Surgery Physician in Newport Beach, CA
• Providers in Newport Beach, 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 Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.