Individual provider Active NPI

Ashkhan Nicholas Kaviani

  • Surgical Physician Assistant
  • West Hills, CA
National Provider Identifier
1720321318
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
7301 Medical Center Dr Ste 400
West Hills, CA 91307-1988
Phone
(818) 264-3344
Fax
(818) 264-3433
NPI assigned
Apr 1, 2013
Last updated
Dec 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU
Surgical Physician Assistant 363AS0400X NU Primary

Addresses

Primary practice location

7301 Medical Center Dr Ste 400
West Hills, CA 91307-1988

Mailing address

7301 Medical Center Drive
Suite 400
West Hills, CA 91307
Phone (818) 264-3344

Other names 1

  • Ashy Kaviani Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140115001367 CA Practitioner - Physician Assistant 4082842281 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13652 Cantara St
Panorama City, CA 91402-5423
Phone (818) 375-2000

8250 Woodman Ave
Panorama City, CA 91402-5427
Phone (818) 375-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute CurrentSince May 13, 2019 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Sep 1, 2019 Accepting new patients
Cep America - California CurrentSince Jan 1, 2014 Accepting new patients
Cep America-California CurrentSince Jan 1, 2014 Accepting new patients
Risser Orthopaedic Group, a Medical Corporation CurrentSince May 14, 2016 Accepting new patients
Cep America - California CurrentSince Jan 1, 2014 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Sep 1, 2019 Accepting new patients
Providence Medical Institute Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients
Robert Fields M D & Evan J Bachner M D Past Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

2627 E Washington Blvd
Pasadena, CA 91107
Phone (626) 463-0135

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

7301 Medical Ctr
Ste 400
West Hills, CA 91307
Phone (818) 264-3344

Interoperability endpoints

  • Direct secure messaging: akaviani801326@oc.providencedirect.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 1

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": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1720321318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 MEDICAL CENTER DRIVE",
            "address_2": "SUITE 400",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "91307",
            "telephone_number": "818-264-3344",
            "fax_number": "818-264-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 MEDICAL CENTER DR STE 400",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071988",
            "telephone_number": "818-264-3344",
            "fax_number": "818-264-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVIANI",
        "first_name": "ASHKHAN",
        "middle_name": "NICHOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-01",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "13652 Cantara St",
            "city": "Panorama City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914025423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ASHY",
            "last_name": "KAVIANI",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Hills, CA

Sources for this page

Verify at the official NPI Registry.