Individual provider Active NPI

Payam Parvinchiha, M.D.

  • Internal Medicine Physician
  • Berkeley, CA
National Provider Identifier
1851690622
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A122389 Issued in CA
Practice address
1901 4TH St Ste 201
Berkeley, CA 94710-1986
Phone
(510) 929-1400
NPI assigned
Mar 19, 2011
Last updated
Apr 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 67717 AZ
Internal Medicine Physician 207R00000X A122389 CA Primary
Internal Medicine Physician 207R00000X 26175 NV

Addresses

Primary practice location

1901 4TH St Ste 201
Berkeley, CA 94710-1986

Mailing address

PO Box 511250
Los Angeles, CA 90051-7805
Phone (510) 929-1400

Other practice location 1

2645 E Southern Ave
Tempe, AZ 85282-7649
Phone (623) 624-8280

Other practice location 2

6880 S McCarran Blvd Ste 5
Reno, NV 89509-6129
Phone (775) 398-1981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ, NV3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20130608000033 CA Practitioner - Internal Medicine 5092953760 Reassigns benefits to 1 organization
I20240716002102 AZ Practitioner - Internal Medicine 5092953760 Reassigns benefits to 1 organization
I20240910003793 NV Practitioner - Internal Medicine 5092953760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pine Park Health, IncGroup PAC ID 0345670527, 21 clinicians

Practice addresses (Care Compare)

Berkeley, CA 94710
Phone (510) 929-1400

19303 N New Tradition Rd
Sun City West, AZ 85375-3806
Phone (510) 929-1400

6880 S McCarran Blvd
Suite 5
Reno, NV 89509-6129
Phone (775) 398-1981

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67717AZMDInternal Medicine Physician
A122389CAMDInternal Medicine Physician
26175NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Welcome Health Medical Group Internal Medicine Current Accepting new patients
Geriatric Specialty Care of Nevada, PLLC, Steven L. Phillips, M.D. CurrentSince Aug 2, 2024 Accepting new patients
Pine Park Health, Inc Internal Medicine CurrentSince Jun 15, 2024 Accepting new patients
Healthcare in Action Medical Group Internal Medicine Current Accepting new patients
MD Solutions Medical Corp Past Accepting new patients

Locations

1901 4th St
Ste 201
Berkeley, CA 94710
Phone (469) 401-8820

2325 Proctor Valley Rd
Chula Vista, CA 91914
Phone (510) 449-3427

22445 Cupertino Rd
Cupertino, CA 95014
Phone (408) 253-4300

11588 Via Rancho San Diego
El Cajon, CA 92019
Phone (619) 660-5718

3850 Walnut Ave
Fremont, CA 94538
Phone (341) 206-8344

16977 Healdsburg Ave
Healdsburg, CA 95448

5740 Lake Murray Blvd
La Mesa, CA 91942
Phone (619) 461-9014

1144 65th St
Ste F
Oakland, CA 94608
Phone (510) 919-1400

5508 Avenida Pacifica Way
Oceanside, CA 92057
Phone (442) 222-5120

9800 Glen Center Dr
San Diego, CA 92131
Phone (858) 832-2500

1444 McAllister St
San Francisco, CA 94115
Phone (415) 305-4002

1189 Kimmerling Rd
Gardnerville, NV 89460
Phone (775) 265-1400

1525 Wigwam Pkwy
Henderson, NV 89074
Phone (702) 904-9943

6880 S McCarran Blvd
Ste 5
Reno, NV 89509
Phone (775) 398-1981

781 Mill St
Reno, NV 89502
Phone (775) 329-1019

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21048/brand/1/csg/1/fhir/r4
  • Direct secure messaging: payam.parvinchiha@299395540647940.direct.elationemr.com
  • Direct secure messaging: pparvinchiha208500@direct.renown.org

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1300492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1851690622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511250",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900517805",
            "telephone_number": "510-929-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 4TH ST STE 201",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947101986",
            "telephone_number": "510-929-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2645 E Southern Ave",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852827649",
            "country_code": "US",
            "telephone_number": "623-624-8280",
            "fax_number": "602-835-0192",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6880 S McCarran Blvd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895096129",
            "country_code": "US",
            "telephone_number": "775-398-1981",
            "fax_number": "775-398-1984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARVINCHIHA",
        "first_name": "PAYAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-19",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "67717",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A122389",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "26175",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.