NPIMap

Individual provider Active NPI

Afshin Akhavan Safa, MD

  • Radiation Oncology Physician
  • Los Angeles, CA
National Provider Identifier
1790789287
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A60934 Issued in CA
Practice address
200 Medical PLZ
Suite B265
Los Angeles, CA 90095-0001
Phone
(310) 825-9771
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X A60934 CA Primary

Addresses

Primary practice location

200 Medical PLZ
Suite B265
Los Angeles, CA 90095-0001

Mailing address

5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
Phone (310) 825-9771

Other identifiers 2

IdentifierTypeStateIssuer
00A609340MedicaidCA
00A609340OtherCABLUE SHIELD

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
I20041001000601 CA Practitioner - Radiation Oncology 1658340047 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of California, San Diego School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Regents of the University of CaliforniaGroup PAC ID 3274573464, 32 clinicians

Practice addresses (Care Compare)

200 UCLA Med Plaza
B265
Los Angeles, CA 90024-6951
Phone (310) 825-9304

Hospital & facility affiliations

  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116
  • Providence Cedars Sinai Tarzana Medical Center Hospital, Tarzana, CA, CCN 050761

Merit-based Incentive Payment System (MIPS)

Final score
78.28 of 100Reported as group
Quality
68.36
Promoting interoperability
100
Improvement activities
40
Cost
48.88

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Radiation Oncology CurrentSince Dec 1, 2013 Accepting new patients
UCLA Radiology Medical Group Radiation Oncology CurrentSince Feb 1, 2021 Accepting new patients
Prime Healthcare Centinela, LLC Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Cedars-Sinai Marina Hospital Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Genesiscare USA of California a Medical Corporation Radiation Oncology Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
UCLA Medical Group Past Accepting new patients

Locations

860 N Park View Dr
El Segundo, CA 90245
Phone (310) 414-9990

3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160

200 Medical Plz
Los Angeles, CA 90095
Phone (310) 206-6688

300 UCLA Medical Plz
Ste B130
Los Angeles, CA 90095
Phone (310) 206-0456

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

18300 Roscoe Blvd
Northridge, CA 91325
Phone (818) 885-5331

100 Moody Ct
Thousand Oaks, CA 91360
Phone (805) 418-3500

27235 Tourney Rd
Ste 1400
Valencia, CA 91355
Phone (661) 253-5858

Organizations & group practices 10

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 2

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1790789287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-825-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PLZ",
            "address_2": "SUITE B265",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-825-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFA",
        "first_name": "AFSHIN",
        "middle_name": "AKHAVAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A60934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A609340",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A609340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.