Fred Javdan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A76858 Issued in CA

Practice address

700 N Brand Blvd Ste 1400
Glendale, CA 91203-4263

Phone

(818) 839-5200

Fax

(818) 844-3887

NPI assigned

Sep 7, 2006

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

Other identifiers 1

Other names 1

• Farid Javedanfar Former name

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

Internal Medicine

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ca Hospital Hospitalist Medical Group IncGroup PAC ID 8527309442, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lavanda Home Health Care Agency, Inc Home health agency, Burbank, CA, CCN 058334
• California Hospital Medical Center la Hospital, Los Angeles, CA, CCN 050149

Merit-based Incentive Payment System (MIPS)

Final score

99.58 of 100Reported as group

Improvement activities

40

Cost

79.16

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ca Hospital Hospitalist Medical Group Inc

  • Hospitalist Physician
  • Los Angeles, CA
  • NPI 1114483146
  Medicare reassignment Care Compare group NPD
• Healthcare Partners Affiliates Medical Group

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1659312593
  Medicare reassignment NPD
• Hospitalist Group of Montebello Inc

  • Hospitalist Physician
  • Corona, CA
  • NPI 1578959318
  Medicare reassignment NPD
• Superior Hospitalist Medical Group Inc

  • Hospitalist Physician
  • Los Angeles, CA
  • NPI 1780047712

  Internal Medicine

  Medicare reassignment NPD
• Healthcare Partners Affiliates Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Murrieta, CA
  • NPI 1760057269
  NPD
• Altamed Health Services Corporation

  • Community/Retail Pharmacy
  • Huntington Beach, CA
  • NPI 1306726419
  NPD (past)
• Beverly Hills Health Care Group Inc

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1487600532
  NPD (past)
• Crown City Medical Group, Inc.

  • Family Medicine Physician
  • Pasadena, CA
  • NPI 1073512836
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Community Care

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1114081056
  Care Compare affiliation
• Lavanda Home Health Care Agency Inc

  • Home Health Agency
  • North Hollywood, CA
  • NPI 1245321751
  Care Compare affiliation

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1669575106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N BRAND BLVD STE 1400",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034263",
            "telephone_number": "818-839-5200",
            "fax_number": "818-844-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N BRAND BLVD STE 1400",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034263",
            "telephone_number": "818-839-5200",
            "fax_number": "818-844-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVDAN",
        "first_name": "FRED",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A76858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A76858",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FARID",
            "last_name": "JAVEDANFAR",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adrine Jarian
• Jaron Andersen, MD, Inc.
• Adrielle Jarvis-Squire, NONE
• Lilit Javadian, OD
• Hagop Javahiryan
• Cresilyn Mangasi Javier
• Jinkee Marie Lunar Javier, NP
• Jax Home Health, Inc
• Melissa Jazmines-Broersma, OTD, MS, OTR/L
• Jean Kang, D.D.S., Inc.

• Internal Medicine Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.