Kiavash Nikkhou MD Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

A130422 Issued in CA

Legal business name

KIAVASH NIKKHOU MD INC

Practice address

415 Rolling Oaks Dr
Suite 260
Thousand Oaks, CA 91361-1029

Phone

(805) 371-4707

NPI assigned

Apr 13, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kiavash Nikkhou, M.D.NPI 1720480916

Title

Physician- Urologist

Phone

(818) 577-0571

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kiavash Nikkhou, M.D.

  • Urology Physician
  • Los Angeles, CA
  • NPI 1720480916
  Medicare reassignment Care Compare group NPD Authorized official
• Carolina Benavides-Baron, PA-C

  • Physician Assistant
  • Thousand Oaks, CA
  • NPI 1093016248
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1588198790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 ROLLING OAKS DR",
            "address_2": "SUITE 260",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611029",
            "telephone_number": "805-371-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 ROLLING OAKS DR",
            "address_2": "SUITE 260",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611029",
            "telephone_number": "805-371-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIAVASH NIKKHOU MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "NIKKHOU",
        "authorized_official_first_name": "KIAVASH",
        "authorized_official_title_or_position": "PHYSICIAN- UROLOGIST",
        "authorized_official_telephone_number": "818-577-0571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "A130422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramin N Khodadadi, D.D.S.
• Huan Khong, DO
• Melody Khonsari
• Derik Khosrovian, DPT
• Fady Khoury, MD, MBA, MPH
• Jazelle Kidd
• Kidney Center of Thousand Oaks
• Andrew H Kim, DDS
• Carlen Eva Kim
• Chan Hyun Kim, LICENSED ACUPUNCTURI

• Urology Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.