John J. Kayvanfar, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

A36821 Issued in CA

Practice address

40005 10TH Street West #213
Palmdale, CA 93551-3013

Phone

(661) 947-0078

Fax

(661) 947-8665

NPI assigned

Nov 7, 2006

Last updated

Jul 20, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Orthopedic Surgery

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• John Kayvanfar MD Inc

  dba Olympic Orthopedic Medical Group

  • Orthopaedic Surgery Physician
  • Palmdale, CA
  • NPI 1659549400
  Medicare reassignment NPD

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1689743437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260916",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914260916",
            "telephone_number": "661-947-0078",
            "fax_number": "661-947-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40005 10TH STREET WEST #213",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513013",
            "telephone_number": "661-947-0078",
            "fax_number": "661-947-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYVANFAR",
        "first_name": "JOHN",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A036821",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A036821",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A36821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A368210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emel Kasgarli, M.D.
• Christina Kass Iliyya
• Taher Katouzian
• Daljit Kaur, FNP
• Ninoosh Kaveh, PHARM D
• Latorra Dontay Keith
• Gary L Kelly, PT
• Laganai Akila Kent
• Reza Kermani, MD
• David Michael Kern, D.D.S.

• Orthopaedic Surgery Physician in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.