Individual provider Active NPI

Jeko Behfarin, MD

  • General Practice Physician
  • Los Angeles, CA
National Provider Identifier
1689686875
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A33441 Issued in CA
Practice address
2120 W 8TH St Ste 200
Los Angeles, CA 90057-4082
Phone
(213) 387-5400
NPI assigned
Aug 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A33441 CA Primary

Addresses

Primary practice location

2120 W 8TH St Ste 200
Los Angeles, CA 90057-4082

Mailing address

2120 W 8TH St Ste 200
Los Angeles, CA 90057-4082
Phone (213) 387-5400

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060310000435 CA Practitioner - General PracticePractitioner - Family PracticePractitioner - Obstetrics/GynecologyPractitioner - Geriatric Medicine 0941217228 Reassigns benefits to 2 organizations
Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Geriatric Medicine
Education
Other, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10701 Riverside Dr
Suite B
Toluca Lake, CA 91602-2385
Phone (818) 766-4307

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A33441CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J.H.S. Medical Center, Inc. CurrentSince Jun 1, 2018 Accepting new patients
Performance Care Sports Medicine & Rehabilitation Center, Inc. CurrentSince Apr 1, 2009 Accepting new patients
Dr Yudkin Healing Hands Chiropractic PastSince Jan 2, 2020 Accepting new patients
Albeer Ibrahim MD Inc PastSince Jan 16, 2013 Accepting new patients
Janfaza Chiropractic Corporation Past Accepting new patients
Beverly Oncology & Imaging Center Medical GR Past Accepting new patients
Nadia Goel Chiropractic, Inc. PastSince Jan 1, 2016 Accepting new patients

Locations

1030 S Glendale Ave
Ste 404
Glendale, CA 91205
Phone (818) 240-9911

10701 Riverside Dr
Ste B
Toluca Lake, CA 91602
Phone (818) 766-4307

Organizations & group practices 8

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 6

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689686875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 W 8TH ST STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574082",
            "telephone_number": "213-387-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 W 8TH ST STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900574082",
            "telephone_number": "213-387-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHFARIN",
        "first_name": "JEKO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A33441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.