NPIMap

Individual provider Active NPI

Siamak Barkhordarian, M.D.

  • Vascular Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1760564702
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A94148 Issued in CA
Practice address
8631 W 3Rd St Ste 540E
Los Angeles, CA 90048-5909
Phone
(310) 880-3933
Fax
(310) 693-2480
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X A94148 CA Primary

Addresses

Primary practice location

8631 W 3Rd St Ste 540E
Los Angeles, CA 90048-5909

Mailing address

PO Box 24218
Los Angeles, CA 90024-0218
Phone (310) 880-3933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070711000440 CA Practitioner - Vascular SurgeryPractitioner - General SurgeryPractitioner - Diagnostic RadiologyPractitioner - Peripheral Vascular DiseasePractitioner - Interventional RadiologyPractitioner - Other (Physician) 8820198468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Diagnostic Radiology, General Surgery, Interventional Radiology, Peripheral Vascular Disease
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8631 W 3Rd St
Los Angeles, CA 90048-5901
Phone (310) 880-3933

Hospital & facility affiliations

  • Southern California Hospital at Hollywood Hospital, Hollywood, CA, CCN 050135
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625
  • Hollywood Presbyterian Medical Center Hospital, Los Angeles, CA, CCN 050063

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)125
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94148CAMDClinical Social Worker
A94148CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Siamak Barkhordarian MD Inc Vascular Surgery CurrentSince Oct 1, 2010 Accepting new patients
Valley Vascular Imaging Inc Past Accepting new patients
Comprehensive Vascular Specialty Group Vascular Surgery Past Accepting new patients
La Vascular and Endovascular Surgery, a Medical Corporation Vascular Surgery Past Accepting new patients
Providence Surgical Care Group, Incorporated Vascular Surgery PastSince Jan 1, 2000 Accepting new patients
Massoud H. Agahi, M.D. Inc. Vascular Surgery Past Accepting new patients

Locations

8631 W 3rd St
Ste 540E
Los Angeles, CA 90048
Phone (310) 424-5750

8635 W 3rd St
Ste 865W
Los Angeles, CA 90048
Phone (310) 657-8237

Interoperability endpoints

  • Direct secure messaging: sbarkhordarian102307@direct.cshs.org

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1760564702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24218",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900240218",
            "telephone_number": "310-880-3933",
            "fax_number": "310-693-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST STE 540E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485909",
            "telephone_number": "310-880-3933",
            "fax_number": "310-693-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKHORDARIAN",
        "first_name": "SIAMAK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A94148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.