Individual provider Active NPI

Kamyar Amini, M.D.

  • Otolaryngology Physician
  • Van Nuys, CA
National Provider Identifier
1609067040
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A99444 Issued in CA
Practice address
14600 Sherman Way Ste 250
Van Nuys, CA 91405-2284
Phone
(818) 998-6600
Fax
(818) 495-4031
NPI assigned
Aug 8, 2007
Last updated
Aug 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A99444 CA Primary

Addresses

Primary practice location

14600 Sherman Way Ste 250
Van Nuys, CA 91405-2284

Mailing address

14600 Sherman Way Ste 250
Van Nuys, CA 91405-2284
Phone (818) 998-6600

Other practice location 1

1672 W Avenue J Ste 109
Lancaster, CA 93534-2859
Phone (818) 998-6600

Other practice location 2

16661 Ventura Blvd Ste 313
Encino, CA 91436-1956
Phone (818) 998-6600

Other practice location 3

27141 Hidaway Ave Ste 107
Canyon Country, CA 91351-4136
Phone (818) 998-6600

Other identifiers 1

IdentifierTypeStateIssuer
00A994440MedicaidCA

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
I20071102000366 CA Practitioner - Otolaryngology 5496842767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Vanderbilt University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17114 Devonshire St
Northridge, CA 91325-1619
Phone (818) 998-6600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A99444CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kamyar Amini MD a Medical Corporation CurrentSince Jun 16, 2008 Accepting new patients
Corazon Health Collective Current Accepting new patients
Dignity Community Care Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients
California Surgical Specialty Group,Inc Otolaryngology PastSince Jul 9, 2012 Accepting new patients

Locations

27141 Hidaway Ave
Ste 107
Canyon Country, CA 91351
Phone (661) 250-0100

17114 Devonshire St
Ste 101
Northridge, CA 91325
Phone (818) 998-6000

14600 Sherman Way
Ste 250
Van Nuys, CA 91405
Phone (818) 212-2223

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1609067040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14600 SHERMAN WAY STE 250",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052284",
            "telephone_number": "818-998-6600",
            "fax_number": "818-495-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14600 SHERMAN WAY STE 250",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052284",
            "telephone_number": "818-998-6600",
            "fax_number": "818-495-4031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1672 W Avenue J Ste 109",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935342859",
            "country_code": "US",
            "telephone_number": "818-998-6600",
            "fax_number": "818-495-4031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16661 Ventura Blvd Ste 313",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914361956",
            "country_code": "US",
            "telephone_number": "818-998-6600",
            "fax_number": "818-495-4031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27141 Hidaway Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Canyon Country",
            "state": "CA",
            "postal_code": "913514136",
            "country_code": "US",
            "telephone_number": "818-998-6600",
            "fax_number": "818-495-4031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMINI",
        "first_name": "KAMYAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A99444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A994440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.