Azita Javdanfar, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1125 S Beverly Dr Ste 400
Los Angeles, CA 90035-1152

Phone

(310) 497-1689

NPI assigned

Feb 3, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: azita.javdanfar.1@11381.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Golden State Emergency Physicians Inc

  • Emergency Medicine Physician
  • Los Angeles, CA
  • NPI 1770886558
  NPD (past)
• Regents University of California

  dba UCLA CPN Santa Monica Bay Physicians

  • Family Medicine Physician
  • Santa Monica, CA
  • NPI 1710287297
  NPD (past)

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315526400000",
    "number": "1750529426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 S ELM DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 S BEVERLY DR STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351152",
            "telephone_number": "310-497-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVDANFAR",
        "first_name": "AZITA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-03",
        "last_updated": "2011-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Javdan, D.D.S.
• Joseph Javdan, DO
• Parviz Javdan, M.D.
• Ron Javdan, M.D.
• Sean Javdan, M.D.
• Nashra Javed, MD
• Joshua Javedanfar, LMFT 139761
• Javid Tavari, D.O., Inc.
• Yashar Javidan, M.D.
• Gentille Javidzad

• Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.