NPIMap

Organization Active NPI

Skilled Facility Health Care Solutions Inc

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1609026095
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SKILLED FACILITY HEALTH CARE SOLUTIONS INC
Practice address
12021 Wilshire Blvd
Suite 745
Los Angeles, CA 90025-1206
Phone
(310) 348-1900
NPI assigned
Sep 23, 2008
Organization subpart
Yes
Parent organization
SKILLED FACILITY HEALTH CARE SOLUTIONS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Authorized official

Name
Bardia Anvar, MD
Title
Owner
Phone
(310) 348-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

12021 Wilshire Blvd
Suite 745
Los Angeles, CA 90025-1206

Mailing address

12021 Wilshire Blvd
Suite 745
Los Angeles, CA 90025-1206
Phone (310) 348-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080102000273 CA Part B Supplier - Clinic/Group Practice 9032299144 Receives reassigned benefits from 82 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Skilled Fac HLTH Care

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1609026095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12021 WILSHIRE BLVD",
            "address_2": "SUITE 745",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251206",
            "telephone_number": "310-348-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12021 WILSHIRE BLVD",
            "address_2": "SUITE 745",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251206",
            "telephone_number": "310-348-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLED FACILITY HEALTH CARE SOLUTIONS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SKILLED FACILITY HEALTH CARE SOLUTIONS INC",
        "enumeration_date": "2008-09-23",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "ANVAR",
        "authorized_official_first_name": "BARDIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-348-1900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.