Active NPI
Keyvan Yousefi, MD, Inc.
- Rheumatology Physician
- Los Angeles, CA
National Provider Identifier
1679607683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- A066667
- Legal business name
- KEYVAN YOUSEFI, MD, INC.
- Practice address
- 8631 W 3Rd St # 915E
Los Angeles, CA 90048-5901 - Phone
- (310) 888-7737
- Fax
- (310) 888-7754
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keyvan Yousefi, MD
- Title
- President
- Phone
- (310) 888-7737
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | A066667 | CA | Primary |
Addresses
Primary practice location
8631 W 3Rd St # 915E
Los Angeles, CA 90048-5901
Mailing address
8631 W 3Rd St # 915E
Los Angeles, CA 90048-5901
Phone (310) 888-7737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8631 W 3rd St
Ste 1020E
Los Angeles, CA 90048
Phone (310) 423-3063
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1679607683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8631 W 3RD ST # 915E",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485901",
"telephone_number": "310-888-7737",
"fax_number": "310-888-7754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8631 W 3RD ST # 915E",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485901",
"telephone_number": "310-888-7737",
"fax_number": "310-888-7754"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEYVAN YOUSEFI, MD, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "YOUSEFI",
"authorized_official_first_name": "KEYVAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-888-7737",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "CA",
"license": "A066667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.