Individual provider Active NPI

Kamran Hakimian, M D

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Beverly Hills, CA
National Provider Identifier
1689871865
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
A38773 Issued in CA
Practice address
50 N la Cienega Blvd
Suite 219
Beverly Hills, CA 90211-2227
Phone
(310) 652-6060
NPI assigned
Jun 29, 2007
Last updated
Feb 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X A38773 CA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X A38773 CA Primary

Addresses

Primary practice location

50 N la Cienega Blvd
Suite 219
Beverly Hills, CA 90211-2227

Mailing address

50 N la Cienega Blvd
Suite 219
Beverly Hills, CA 90211-2227
Phone (310) 652-6060

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
I20120313000813 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Other (Physician) 2062402050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16661 Ventura Blvd
Suite 714
Encino, CA 91436-1993
Phone (818) 784-6961

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
California Sports & Rehab Center CurrentSince Feb 2, 1996 Accepting new patients
California Sports & Rehab Center Current Accepting new patients
Simi San Fernando Valley Urology Associates Past Accepting new patients
Dr. Matthew Safapour DPM, Inc PastSince Feb 2, 1996 Accepting new patients
Alan Shiener MD Inc. Past Accepting new patients

Locations

50 N La Cienega Blvd
Ste 219
Beverly Hills, CA 90211
Phone (310) 652-6060

16661 Ventura Blvd
Ste 714
Encino, CA 91436
Phone (818) 784-6961

12301 Wilshire Blvd
Ste 207
Los Angeles, CA 90025

14124 Foothill Blvd
Sylmar, CA 91342
Phone (818) 364-8181

14124 Foothill Blvd
Ste 200
Sylmar, CA 91342
Phone (818) 367-1012

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1689871865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N LA CIENEGA BLVD",
            "address_2": "SUITE 219",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112227",
            "telephone_number": "310-652-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N LA CIENEGA BLVD",
            "address_2": "SUITE 219",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112227",
            "telephone_number": "310-652-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKIMIAN",
        "first_name": "KAMRAN",
        "name_prefix": "Dr.",
        "credential": "M D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "CA",
            "license": "A38773",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A38773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.