Active NPI
Payam Daneshrad, MD
- Otolaryngology Physician
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- A71327
- Practice address
- 2811 Wilshire Blvd
Suite 800
Santa Monica, CA 90403 - Phone
- (310) 306-3737
- Fax
- (310) 306-1240
- NPI assigned
- Jan 19, 2007
- Last updated
- Jun 23, 2008
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | A71327 | CA | Primary |
Addresses
Primary practice location
2811 Wilshire Blvd
Suite 800
Santa Monica, CA 90403
Mailing address
2811 Wilshire Blvd
Suite 800
Santa Monica, CA 90403
Phone (310) 306-3739
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Tulane University School of Medicine, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1304 15TH St
Suite 407
Santa Monica, CA 90404-1813
Phone (310) 453-6500
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71327 | CA | MD | Pharmacist |
| A71327 | CA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Providers of California Medical Group, Inc | Past | Accepting new patients | |
| Mahfouz M. Michael,M.D.,Inc. | Past | Accepting new patients | |
| Mahfouz M. Michael,M.D.,Inc. | Past | Accepting new patients | |
| Cedars Towers Surgical Medical Group | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JIEIAA/Endpoint/JIEIAA
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.
-
- Otolaryngology Physician
- Santa Monica, CA
- NPI 1952568305
-
- Surgery Physician
- Los Angeles, CA
- NPI 1881633287
-
- Internal Medicine Physician
- San Ysidro, CA
- NPI 1003846486
-
dba Clinica Medica San Miguel
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1093934986
-
dba Clinica Medica San Miguel
- Internal Medicine Physician
- San Fernando, CA
- NPI 1609095587
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1467459776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214179200000",
"number": "1902959307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 WILSHIRE BLVD",
"address_2": "SUITE 800",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "90403",
"telephone_number": "310-306-3739",
"fax_number": "310-306-1240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 WILSHIRE BLVD",
"address_2": "SUITE 800",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "90403",
"telephone_number": "310-306-3737",
"fax_number": "310-306-1240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANESHRAD",
"first_name": "PAYAM",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2008-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "A71327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
- Mary Jo Dalton, RN
- Cornelia B Daly, M.D.
- Karim Damji, RD
- Damoan Corp. (Translating Solutions)
- Dana Laridaen Chiropractic Inc. (O2 Chiropractic and Wellness)
- Samuel A Daneshvar, M.D.
- Nhi Hong Dang, DPT
- Danice Hertz MD Inc
- Daniel Behroozan MD a Medical Corporation (Dermatology Institute of Southern California)
- Daniel F. Kelly M D Neurosurgical Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.