Kamyar Yehudah Ebrahimi, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

A91899 Issued in CA

Practice address

1577 E Chevy Chase Dr Ste 100
Glendale, CA 91206-4192

Phone

(818) 246-3300

Fax

(818) 246-3305

NPI assigned

Feb 11, 2008

Last updated

Jun 8, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Urology

Education

University of California, San Diego School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Restart Home Health Care Inc Home health agency, La Crescenta, CA, CCN 757784
• Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239
• Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058
• Usc Verdugo Hills Hospital Hospital, Glendale, CA, CCN 050124

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Star Urology Incorporated

  • Urology Physician
  • Glendale, CA
  • NPI 1801113824
  Medicare reassignment
• Kamyar Ebrahimi MD Apc

  • Urology Physician
  • Glendale, CA
  • NPI 1366351546
  Authorized official Same address or phone
• Faculty Physicians and Surgeons of Llusm

  • Pediatric Urology Physician
  • Loma Linda, CA
  • NPI 1295900439
  NPD (past)
• Loma Linda Univ Urology Medical Group Inc

  • Urology Physician
  • Loma Linda, CA
  • NPI 1396791901
  NPD (past)

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

• Dignity Community Care

  dba Glendale Memorial Hospital and Health Center

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1477610640
  Care Compare affiliation
• Glendale Adventist Medical Center

  dba Adventist Health Glendale

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1831188275
  Care Compare affiliation
• Restart Home Health Care Inc

  • Home Health Agency
  • La Crescenta, CA
  • NPI 1699419309
  Care Compare affiliation
• Usc Verdugo Hills Hospital

  • General Acute Care Hospital
  • Glendale, CA
  • NPI 1033716147
  Care Compare affiliation

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1821266008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1577 E CHEVY CHASE DR STE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064192",
            "telephone_number": "818-246-3300",
            "fax_number": "818-246-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 E CHEVY CHASE DR STE 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064192",
            "telephone_number": "818-246-3300",
            "fax_number": "818-246-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBRAHIMI",
        "first_name": "KAMYAR",
        "middle_name": "YEHUDAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-11",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A91899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holli Eaton, PSYD
• Brianna Ebanks
• Douglas Ebbink, OPTICIAN
• Anabel Ebrahimi, PHARM.D.
• Anni Ebrahimi
• Mehdi Ebrahimi
• Roobik Ebrahimi, CDT
• Juliet Ebrahimian
• Mousheg Ebrahimian, PHARM.D.
• Raissa Echavarria, MA, BCBA

• Urology Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.