NPIMap

Individual provider Active NPI

Kambiz Vahabzadeh, MD

  • Internal Medicine Physician
  • West Hollywood, CA
National Provider Identifier
1659550473
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A100331 Issued in CA
Practice address
8700 Beverly Blvd # 5512
Department of Internal Medicine
West Hollywood, CA 90048-1804
Phone
(310) 423-5581
NPI assigned
Oct 29, 2007
Last updated
Oct 29, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A100331 CA Primary

Addresses

Primary practice location

8700 Beverly Blvd # 5512
Department of Internal Medicine
West Hollywood, CA 90048-1804

Mailing address

8700 Beverly Blvd # 5512
Department of Internal Medicine
West Hollywood, CA 90048-1804
Phone (310) 423-5581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081219000160 CA Practitioner - NephrologyPractitioner - Internal Medicine 7719049154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Michigan Medical School, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern California Kidney Associates IncGroup PAC ID 9335228824, 5 clinicians

Practice addresses (Care Compare)

1501 Superior Ave
Suite 205
Newport Beach, CA 92663-3640
Phone (949) 642-4974

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
100331CAMDGeneral Practice Dentistry
A100331CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Nov 27, 2007 Accepting new patients
Southern California Permanente Medical Group CurrentSince Nov 27, 2007 Accepting new patients
Nephrology Independent Physicians Association Inc CurrentSince Apr 1, 2020 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Southern California Kidney Associates Inc. CurrentSince Jul 1, 2013 Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients

Locations

4733 W Sunset Blvd
Los Angeles, CA 90027
Phone (213) 667-4784

6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000

1501 Superior Ave
Newport Beach, CA 92663
Phone (949) 333-0464

1501 Superior Ave
Ste 205
Newport Beach, CA 92663
Phone (866) 433-9943

625 The City Dr S
Ste 310
Orange, CA 92868
Phone (949) 674-1548

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13534/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kambiz.vahabzadeh.1@13534.direct.athenahealth.com

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 7

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": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1659550473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD # 5512",
            "address_2": "DEPARTMENT OF INTERNAL MEDICINE",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481804",
            "telephone_number": "310-423-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD # 5512",
            "address_2": "DEPARTMENT OF INTERNAL MEDICINE",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481804",
            "telephone_number": "310-423-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAHABZADEH",
        "first_name": "KAMBIZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A100331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.