Organization Active NPI

Nima Yavari MD, Inc.

  • Medical Specialty Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1699030569
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
A106363 Issued in CA
Legal business name
NIMA YAVARI MD, INC.
Practice address
1001 Tiverton Ave
Apt #3129
Los Angeles, CA 90024-3020
Phone
(310) 443-7971
NPI assigned
Jul 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Authorized official

Name
Dr. Nima Yavari, M.D.
Title
Physician
Phone
(917) 755-9911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X A106363 CA Primary

Addresses

Primary practice location

1001 Tiverton Ave
Apt #3129
Los Angeles, CA 90024-3020

Mailing address

1001 Tiverton Ave
Apt #3129
Los Angeles, CA 90024-3020

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1699030569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 TIVERTON AVE",
            "address_2": "APT #3129",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 TIVERTON AVE",
            "address_2": "APT #3129",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243020",
            "telephone_number": "310-443-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIMA YAVARI MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-06",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "YAVARI",
        "authorized_official_first_name": "NIMA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "917-755-9911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A106363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.