Active NPI
Hootan Zandifar, MD
- Facial Plastic Surgery Physician
- Beverly Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- A109191
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Sanford Medical Center Fargo
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 19 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A109191 | CA | MD | Facial Plastic Surgery Physician |
| 01064955A | IN | MD | Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Hootan Zandifar MD Inc | Facial Plastic Surgery | Current | Accepting new patients |
| Tanya Kormeili, MD, PC | Current | Accepting new patients | |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Gupta Zandifar Operating Account | Otolaryngology | Current | Accepting new patients |
| Sanford Medical Center Fargo | Current | 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
- 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.
-
- Facial Plastic Surgery Physician
- Beverly Hills, CA
- NPI 1114550498
-
- Dermatology Physician
- Santa Monica, CA
- NPI 1477758159
-
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
-
- Otolaryngology Physician
- Beverly Hills, CA
- NPI 1407485493
-
- Rural Health Clinic/Center
- Forman, ND
- NPI 1073520003
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
-
- Home Health Agency
- Fargo, ND
- NPI 1891861761
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
- Ambulatory Surgical Clinic/Center
- Bemidji, MN
- NPI 1093876922
Hospital
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1245519081
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; 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.