Pedram Ghasri, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

CA123798 Issued in CA

Practice address

18555 Ventura Blvd
Tarzana, CA 91356-4191

Phone

(818) 344-3376

NPI assigned

Sep 12, 2012

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

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

Specialty

Dermatology

Education

University of California, Irvine, California College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peyman Ghasri MD a Prof CorpGroup PAC ID 2264535566, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.83 of 100Reported as group

Quality

88.33

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Peyman Ghasri, M.D. a Professional Corporation

  • Dermatology Physician
  • Tarzana, CA
  • NPI 1356498976
  Medicare reassignment Care Compare group NPD
• Tarzana Medical Center LLC

  • General Acute Care Hospital
  • Tarzana, CA
  • NPI 1821250762
  NPD (past)

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1639429178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18555 VENTURA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564191",
            "telephone_number": "818-344-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18555 VENTURA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564191",
            "telephone_number": "818-344-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHASRI",
        "first_name": "PEDRAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-12",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "CA123798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gettelman, Zukow, Keer MD
• Sheldon Joel Getzug, M.D.
• Pauline Gevargiz, PHARMD
• Maryam Ghafari
• Firouzeh Gharahvali
• Bita Ghatan, M.S.
• Benjamin Ghiam, PHARM D.
• Kaytlin Nicole Ghyczy
• Peter Francis Giacobazzi, MD
• Stephanie Giambra

• Dermatology Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.