Active NPI
Ohara Aivaz MD a Professional Corporation
- Dermatology Physician
- Beverly Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- OHARA AIVAZ MD A PROFESSIONAL CORPORATION
- Practice address
- 400 S Beverly Dr Ste 380
Beverly Hills, CA 90212-4424 - Phone
- (415) 802-1310
- NPI assigned
- Jan 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ohara Aivaz, MD
- Title
- Ceo
- Phone
- (415) 802-1310
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
400 S Beverly Dr Ste 380
Beverly Hills, CA 90212-4424
Mailing address
802 S Spaulding Ave
Los Angeles, CA 90036-4608
Phone (415) 802-1310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2301150 | Ohara Aivaz MD | Certificate of waiver | Mar 20, 2028 |
National Provider Directory
National Provider DirectoryLocations
400 S Beverly Dr
Ste 380
Beverly Hills, CA 90212
Phone (424) 285-0999
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723593600000",
"number": "1902676695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 S SPAULDING AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900364608",
"telephone_number": "415-802-1310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S BEVERLY DR STE 380",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902124424",
"telephone_number": "415-802-1310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OHARA AIVAZ MD A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-04",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A",
"authorized_official_last_name": "AIVAZ",
"authorized_official_first_name": "OHARA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "415-802-1310",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.