Individual provider Active NPI

Evish Kamrava, MD

  • Physical Medicine & Rehabilitation Physician
  • Westlake Village, CA
National Provider Identifier
1861629685
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A125995 Issued in CA
Practice address
32144 Agoura Rd Ste 200
Westlake Village, CA 91361-4031
Phone
(805) 601-7772
NPI assigned
Jun 18, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A125995 CA Primary

Addresses

Primary practice location

32144 Agoura Rd Ste 200
Westlake Village, CA 91361-4031

Mailing address

PO Box 3129
Torrance, CA 90510-3129
Phone (310) 792-3914

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
I20140226000596 CA Practitioner - Physical Medicine and Rehabilitation 1254561905 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Commons Clinic Medical Group, PCGroup PAC ID 6204221096, 21 clinicians

Practice addresses (Care Compare)

2901 Wilshire Blvd
Suite 300
Santa Monica, CA 90403-4901
Phone (310) 437-7921

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A125995CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Health and Rehab PC Physical Medicine & Rehabilitation CurrentSince Apr 21, 2020 Accepting new patients
Phyzmed Associates Inc CurrentSince Jan 10, 2022 Accepting new patients
Medical Imaging Center of Southern California CurrentSince May 6, 2020 Accepting new patients
Evish Kamrava MD PC Physical Medicine & Rehabilitation CurrentSince Sep 15, 2014 Accepting new patients
Commons Clinic Medical Group, PC CurrentSince Jan 13, 2025 Accepting new patients
Phyzmed Associates Inc CurrentSince Jan 10, 2022 Accepting new patients
Commons Clinic Medical Network, PC PastSince Jan 13, 2025 Accepting new patients

Locations

2080 Century Park E
Ste 1204
Los Angeles, CA 90067
Phone (310) 430-1310

2415 S Western Ave
#1182
Los Angeles, CA 90018

2415 S Western Ave
Los Angeles, CA 90018
Phone (323) 434-1101

444 S San Vicente Blvd
Ste 901
Los Angeles, CA 90048
Phone (310) 248-7322

13160 Mindanao Way
Ste 300
Marina del Rey, CA 90292
Phone (310) 574-0400

26921 Crown Valley Pkwy
Ste 110
Mission Viejo, CA 92691
Phone (949) 367-1006

2901 Wilshire Blvd
Ste 300
Santa Monica, CA 90403

1112 Montana Ave
#900
Santa Monica, CA 90403
Phone (855) 257-4239

2827 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 453-1489

2801 Wilshire Blvd
Ste A
Santa Monica, CA 90403
Phone (310) 547-2777

2811 Wilshire Blvd
Ste 850
Santa Monica, CA 90403
Phone (310) 828-7757

32144 Agoura Rd
Ste 200
Westlake Village, CA 91361
Phone (310) 218-4502

Interoperability endpoints

  • Direct secure messaging: ekamrava909951@direct.memorialcare.org

Organizations & group practices 7

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": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1861629685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3129",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905103129",
            "telephone_number": "310-792-3914",
            "fax_number": "855-898-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32144 AGOURA RD STE 200",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614031",
            "telephone_number": "805-601-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMRAVA",
        "first_name": "EVISH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-18",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A125995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.