Active NPI
Fairooz Kabbinavar, M.D.
- Hematology & Oncology Physician
- Los Angeles, CA
National Provider Identifier
1801871819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- A 45968
- Practice address
- 10945 Le Conte Ave
Suite # 2338 J / Pvub 957187
Los Angeles, CA 90095-3000 - Phone
- (310) 206-3921
- Fax
- (310) 267-0151
- NPI assigned
- Dec 13, 2005
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | A 45968 | CA | Primary |
Addresses
Primary practice location
10945 Le Conte Ave
Suite # 2338 J / Pvub 957187
Los Angeles, CA 90095-3000
Mailing address
10945 Le Conte Ave
Suite # 2338 J / Pvub 957187
Los Angeles, CA 90095-3000
Phone (310) 206-3921
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A459680 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45968 | CA | MD | Mental Health Counselor |
| A 45968 | CA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UCLA Medical Group | Hematology & Oncology | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261353600000",
"number": "1801871819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10945 LE CONTE AVE",
"address_2": "SUITE # 2338 J / PVUB 957187",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900953000",
"telephone_number": "310-206-3921",
"fax_number": "310-267-0151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10945 LE CONTE AVE",
"address_2": "SUITE # 2338 J / PVUB 957187",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900953000",
"telephone_number": "310-206-3921",
"fax_number": "310-267-0151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KABBINAVAR",
"first_name": "FAIROOZ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2009-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "A 45968",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A459680",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.