John Kayvanfar MD Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

A36821 Issued in CA

Legal business name

JOHN KAYVANFAR MD INC

Practice address

1224 E Avenue S Ste C
Palmdale, CA 93550-6180

Phone

(661) 947-0078

NPI assigned

Feb 14, 2008

Organization subpart

No

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

Authorized official

Name

John Kayvenfar, MD

Title

Owner

Phone

(661) 947-0078

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Olympic Orthopedic Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John J. Kayvanfar, M.D.

  • Orthopaedic Surgery Physician
  • Palmdale, CA
  • NPI 1689743437
  Medicare reassignment NPD

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1659549400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260916",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914260916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 E AVENUE S STE C",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935506180",
            "telephone_number": "661-947-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN KAYVANFAR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "KAYVENFAR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-947-0078",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A36821",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A36821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A368210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympic Orthopedic Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dina J Jensen
• Youngil Jeon
• Daisy Jessick, M.S.W.
• JLT Pharmventure Inc
• Joe P Chauvapun MD Professional Corporation
• Audrea Jenez Johnson, SLPA #3261
• Elisha Johnson
• Jewel Claire Johnson
• Lether Johnson
• Myoshi Johnson

• Orthopaedic Surgery Physician in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.