Anahid Javanfar Kwiatkouski, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A 9164 Issued in CA

Practice address

1970 S Prospect Ave
Suite 3
Redondo Beach, CA 90277-6005

Phone

(310) 944-9344

NPI assigned

Jan 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Anahid Javanfar Former name

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

Specialty

Family Practice

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Torrance Health Association IncGroup PAC ID 1355302134, 298 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Torrance Memorial Home Health Home health agency, Torrance, CA, CCN 057788
• Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: drajkwia@direct.tmmc.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.

• Torrance Health Association Inc

  dba Torrance Memorial Physician Network

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1083903124
  Medicare reassignment Care Compare group NPD
• Torrance Memorial Medical Center

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1467459776
  NPD
• SSM Health Care St. Louis

  dba SSM Health St. Mary's Hospital Physician Billing

  • Emergency Medicine Physician
  • Saint Louis, MO
  • NPI 1366400855
  NPD (past)
• SSM Health Care St. Louis

  dba SSM Health St. Mary's Hospital - St. Louis

  • Psychiatric Hospital Unit
  • Saint Louis, MO
  • NPI 1780763284
  NPD (past)
• SSM St. Joseph Hospital West

  dba St. Joseph Warrenton Urgent Care

  • Internal Medicine Physician
  • Warrenton, MO
  • NPI 1255385456

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Torrance Memorial Medical Center

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1467459776
  Care Compare affiliation
• Torrance Memorial Medical Center

  dba Torrance Memorial Home Health

  • Home Health Agency
  • Torrance, CA
  • NPI 1710989330
  Care Compare affiliation

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1780731810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 S PROSPECT AVE",
            "address_2": "SUITE 3",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902776005",
            "telephone_number": "310-944-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 S PROSPECT AVE",
            "address_2": "SUITE 3",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902776005",
            "telephone_number": "310-944-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWIATKOUSKI",
        "first_name": "ANAHID",
        "middle_name": "JAVANFAR",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A 9164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANAHID",
            "last_name": "JAVANFAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kim T Kuei, PHARM D.
• Deeya Paresh Kumar, DO
• Helen FH Kuo, D.P.M.
• Samah Shahzya Kureshi, WHNP
• Tomoe Kuwata
• Jessica May Kwong, PT, DPT
• La Beach Cities Surgical Group
• Jaime Michelle La Charite, M.D., M.P.H.
• La Laser Center PC, a Professional Medical Corporation
• Geoffrey La Pointe

• Family Medicine Physician in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.

Verify at the official NPI Registry.