Individual provider Active NPI

Amir Larian, M.D.

  • Dermatology Physician
  • Burbank, CA
National Provider Identifier
1649467192
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A118659 Issued in CA
Practice address
1624 W Olive Ave
Suite B
Burbank, CA 91506-2459
Phone
(818) 729-9149
Fax
(818) 729-9119
NPI assigned
Sep 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 245596 NY
Dermatology Physician 207N00000X A118659 CA Primary

Addresses

Primary practice location

1624 W Olive Ave
Suite B
Burbank, CA 91506-2459

Mailing address

1624 W Olive Ave
Suite B
Burbank, CA 91506-2459
Phone (818) 729-9149

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
I20130306000051 CA Practitioner - Dermatology 9335394949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, San Diego School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amir Larian MD IncGroup PAC ID 7810266129, 3 clinicians

Practice addresses (Care Compare)

1624 W Olive Ave
Suite B
Burbank, CA 91506-2459
Phone (818) 729-9149

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions952
Removal of skin cancer42
Removal or shaving of skin growth15
Skin biopsy68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
245596NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amir Larian MD Inc Dermatology CurrentSince Aug 1, 2017 Accepting new patients
Mount Sinai Hospital Past Accepting new patients

Locations

1624 W Olive Ave
Ste B
Burbank, CA 91506
Phone (818) 729-9149

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1649467192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 W OLIVE AVE",
            "address_2": "SUITE B",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062459",
            "telephone_number": "818-729-9149",
            "fax_number": "818-729-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 W OLIVE AVE",
            "address_2": "SUITE B",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062459",
            "telephone_number": "818-729-9149",
            "fax_number": "818-729-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARIAN",
        "first_name": "AMIR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-28",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "245596",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A118659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.