Individual provider Active NPI

Peyman Naji, M.D.

  • Interventional Cardiology Physician
  • Lakewood, CA
National Provider Identifier
1720215429
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A154337 Issued in CA
Practice address
3650 South St Ste 310
Lakewood, CA 90712-1519
Phone
(562) 531-1980
Fax
(562) 531-7952
NPI assigned
Jun 19, 2009
Last updated
Jan 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X A154337 CA Primary

Addresses

Primary practice location

3650 South St Ste 310
Lakewood, CA 90712-1519

Mailing address

3650 South St Ste 310
Lakewood, CA 90712-1519
Phone (562) 531-1980

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180808003514 CA Practitioner - Interventional Cardiology 7618126913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3650 E S St
Suite 310
Lakewood, CA 90712-1519
Phone (562) 531-1980

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Partners, a Medical Group Current Accepting new patients
Prohealth Partners a Medical Group Inc Current Accepting new patients
Prohealth Partners a Medical Group Inc CurrentSince Aug 2, 2019 Accepting new patients
Prohealth Partners, a Medical Group, Inc. CurrentSince Aug 2, 2019 Accepting new patients
University of California Irvine Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients

Locations

3650 South St
Ste 210
Lakewood, CA 90712
Phone (562) 630-0910

3650 South St
Ste 303
Lakewood, CA 90712
Phone (563) 633-9734

3650 South St
Ste 310
Lakewood, CA 90712
Phone (310) 531-1980

300 Redondo Ave
#B
Long Beach, CA 90814

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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 3

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": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1720215429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 SOUTH ST STE 310",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121519",
            "telephone_number": "562-531-1980",
            "fax_number": "562-531-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 SOUTH ST STE 310",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121519",
            "telephone_number": "562-531-1980",
            "fax_number": "562-531-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAJI",
        "first_name": "PEYMAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-19",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A154337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

Verify at the official NPI Registry.