Individual provider Active NPI

Hootan Zandifar, MD

  • Facial Plastic Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1679747307
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
A109191 Issued in CA
Practice address
8920 Wilshire Blvd Ste 604
Beverly Hills, CA 90211-2006
Phone
(310) 736-4272
Fax
(310) 496-7235
NPI assigned
Apr 14, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X A109191 CA Primary
Otolaryngology Physician 207Y00000X 23151 ND
Facial Plastic Surgery Physician 207YS0123X 01064955A IN

Addresses

Primary practice location

8920 Wilshire Blvd Ste 604
Beverly Hills, CA 90211-2006

Mailing address

8920 Wilshire Blvd Ste 604
Beverly Hills, CA 90211-2006
Phone (310) 736-4272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ND2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091021000136 CA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 4880731009 Reassigns benefits to 2 organizations
I20260128000217 ND Practitioner - Otolaryngology 4880731009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sanford Medical Center FargoGroup PAC ID 8426967803, 1,210 clinicians
Tanya Kormeili MD PCGroup PAC ID 3274607692, 2 clinicians

Practice addresses (Care Compare)

1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445

2811 Wilshire Blvd
Suite 640
Santa Monica, CA 90403-4823
Phone (310) 526-8301

5225 23Rd Ave S
Fargo, ND 58104-7927
Phone (701) 417-2575

8920 Wilshire Blvd
Suite 604
Beverly Hills, CA 90211-2006
Phone (310) 736-4272

Hospital & facility affiliations

  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625
  • Sanford Medical Center Fargo Hospital, Fargo, ND, CCN 350011

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision19
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A109191CAMDFacial Plastic Surgery Physician
01064955AINMDFacial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Fargo Current Accepting new patients
Hootan Zandifar MD Inc Facial Plastic Surgery CurrentSince Sep 8, 2024 Accepting new patients
Tanya Kormeili, MD, PC CurrentSince Oct 1, 2018 Accepting new patients
Sanford Medical Center Fargo CurrentSince Dec 22, 2025 Accepting new patients
Gupta Zandifar Operating Account Otolaryngology CurrentSince Mar 4, 2020 Accepting new patients
Sanford Medical Center Fargo CurrentSince Dec 22, 2025 Accepting new patients
Sanford Medical Center Fargo Past Accepting new patients

Locations

8920 Wilshire Blvd
Ste 604
Beverly Hills, CA 90211
Phone (310) 464-2257

2811 Wilshire Blvd
Ste 640
Santa Monica, CA 90403
Phone (310) 526-8301

801 Broadway N
Fargo, ND 58102
Phone (701) 234-5121

5225 23rd Ave S
Fargo, ND 58104
Phone (701) 234-5933

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00293

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 and National Provider Directory roles.

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": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1679747307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8920 WILSHIRE BLVD STE 604",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112006",
            "telephone_number": "310-736-4272",
            "fax_number": "310-496-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8920 WILSHIRE BLVD STE 604",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112006",
            "telephone_number": "310-736-4272",
            "fax_number": "310-496-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANDIFAR",
        "first_name": "HOOTAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-14",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CA",
            "license": "A109191",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "ND",
            "license": "23151",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "IN",
            "license": "01064955A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.