Individual provider Active NPI

Ramin Badiyan, MD

  • Pediatric Cardiology Physician
  • Los Angeles, CA
National Provider Identifier
1750917738
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
184210 Issued in CA
Practice address
11620 Wilshire Blvd Ste 600
Los Angeles, CA 90025-1776
Phone
(310) 876-2405
Fax
(310) 469-9708
NPI assigned
Mar 21, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 184210 CA Primary

Addresses

Primary practice location

11620 Wilshire Blvd Ste 600
Los Angeles, CA 90025-1776

Mailing address

11620 Wilshire Blvd Ste 600
Los Angeles, CA 90025-1776
Phone (310) 876-2405

Other practice location 1

10833 Le Conte Ave
Los Angeles, CA 90095-4553
Phone (310) 825-6861

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
I20231024003839 CA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 7719333921

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
184210CAMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ramin Badiyan, MD, a Professional Corporation Pediatric Cardiology Current Accepting new patients
University of California Irvine PastSince Mar 1, 2020 Accepting new patients

Locations

11620 Wilshire Blvd
Ste 600
Los Angeles, CA 90025
Phone (310) 459-7736

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1584748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1750917738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11620 WILSHIRE BLVD STE 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251776",
            "telephone_number": "310-876-2405",
            "fax_number": "310-469-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11620 WILSHIRE BLVD STE 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251776",
            "telephone_number": "310-876-2405",
            "fax_number": "310-469-9708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10833 Le Conte Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900954553",
            "country_code": "US",
            "telephone_number": "310-825-6861",
            "fax_number": "310-206-2119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADIYAN",
        "first_name": "RAMIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-21",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "184210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.