Active NPI
Navvab Tadjvar
- Clinical Psychologist
- Beverly Hills, CA
National Provider Identifier
1780350462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 36215
- Practice address
- 9615 Brighton Way Ste M100
Beverly Hills, CA 90210-5131 - Phone
- (408) 202-1172
- NPI assigned
- Aug 21, 2021
- Last updated
- Oct 2, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 36215 | CA | Primary |
Addresses
Primary practice location
9615 Brighton Way Ste M100
Beverly Hills, CA 90210-5131
Mailing address
17200 Eaton LN
Monte Sereno, CA 95030-2203
Phone (408) 202-1172
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
32170 Niguel Rd
Laguna Niguel, CA 92677-4264
Phone (877) 295-3747
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36215 | CA | MD | Chiropractor |
Organizations & group practices 1
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.
-
- Cognitive & Behavioral Psychologist
- Santa Ana, CA
- NPI 1548614183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1780350462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17200 EATON LN",
"city": "MONTE SERENO",
"state": "CA",
"postal_code": "950302203",
"telephone_number": "408-202-1172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9615 BRIGHTON WAY STE M100",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902105131",
"telephone_number": "408-202-1172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TADJVAR",
"first_name": "NAVVAB",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-21",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "36215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.