Payam Ezra Kerendian, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A8382 Issued in CA

Practice address

8484 Wilshire Blvd
Ste 670
Beverly Hills, CA 90211-3233

Phone

(310) 859-1077

Fax

(323) 782-9432

NPI assigned

Feb 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Delight Medical Center, Inc

  • Obesity Medicine (Family Medicine) Physician
  • Beverly Hills, CA
  • NPI 1114186608
  NPD (past) Authorized official

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1609914290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8484 WILSHIRE BLVD",
            "address_2": "SUITE 670",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113201",
            "telephone_number": "310-859-1077",
            "fax_number": "323-782-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8484 WILSHIRE BLVD",
            "address_2": "STE 670",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113233",
            "telephone_number": "310-859-1077",
            "fax_number": "323-782-9432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERENDIAN",
        "first_name": "PAYAM",
        "middle_name": "EZRA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-03",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A8382",
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "20A8382",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "CA",
            "license": "20A8382",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Violetta Kenigsberg, D.D.S
• Kenneth Jacobs DDS
• Brooke A Kennon, FNP
• Kennth J. Jacobs, DDS, Inc., and K. J. Liang, DDS, Inc., a California
• Naghmeh Kerendian, D.O
• Kathleen Kern, LCSW
• Kerry K Assil, MD, Inc.
• Kerry K. Assil, M.D., Inc.
• Kassandra Kershaw
• Mkhail Keselbrener

• Family Medicine Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.