Individual provider Active NPI

Roya Ghafouri, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1790943355
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
A115937 Issued in CA
Practice address
9735 Wilshire Blvd Ste 421
Beverly Hills, CA 90212-2113
Phone
(310) 990-0905
Fax
(424) 204-1459
NPI assigned
May 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X A115937 CA Primary

Addresses

Primary practice location

9735 Wilshire Blvd Ste 421
Beverly Hills, CA 90212-2113

Mailing address

9735 Wilshire Blvd Ste 421
Beverly Hills, CA 90212-2113
Phone (310) 990-0905

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
I20130820000834 CA Practitioner - Ophthalmology 3870618176 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians of Long Beach a Medical Group IncGroup PAC ID 9234124538, 8 clinicians

Practice addresses (Care Compare)

2925 Palo Verde Ave
Long Beach, CA 90815-1552
Phone (562) 799-2020

9735 Wilshire Blvd
Suite 417
Beverly Hills, CA 90212-2114
Phone (310) 990-0905

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Vision Care a California General Partnership CurrentSince Dec 11, 2021 Accepting new patients
Eye Physicians of Long Beach a Medical Group Inc. Ophthalmic Plastic and Reconstructive Surgery CurrentSince Jun 1, 2017 Accepting new patients
Roya H Ghafouri MD Inc CurrentSince Mar 7, 2018 Accepting new patients
Boston University Eye Associates, Inc. PastSince Aug 1, 2011 Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
The Regents of the University of California Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Boston University Eye Associates, Inc. PastSince Aug 1, 2011 Accepting new patients

Locations

9735 Wilshire Blvd
Ste 417
Beverly Hills, CA 90212
Phone (310) 990-0905

9735 Wilshire Blvd
Ste 421
Beverly Hills, CA 90212
Phone (310) 205-3555

6285 E Spring St
Long Beach, CA 90808
Phone (562) 204-6026

3325 Palo Verde Ave
Ste 103
Long Beach, CA 90808
Phone (562) 421-2757

2925 Palo Verde Ave
Long Beach, CA 90815
Phone (562) 421-2757

2080 Century Park E
Ste 911
Los Angeles, CA 90067
Phone (310) 229-1220

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: roya.ghafouri.p1@direct.eplb.nextgenshare.com

Organizations & group practices 9

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": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1790943355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD STE 421",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122113",
            "telephone_number": "310-990-0905",
            "fax_number": "424-204-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD STE 421",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122113",
            "telephone_number": "310-990-0905",
            "fax_number": "424-204-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAFOURI",
        "first_name": "ROYA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A115937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.