Individual provider Active NPI

Payam John Kahen, M.D.

  • General Practice Physician
  • Wilmington, CA
National Provider Identifier
1902967557
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A97561 Issued in CA
Practice address
714 N Avalon Blvd
Wilmington, CA 90744
Phone
(310) 522-4200
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A97561 CA
General Practice Physician 208D00000X A97561 CA Primary

Addresses

Primary practice location

714 N Avalon Blvd
Wilmington, CA 90744

Mailing address

50 N la Cienega Blvd
Suite 200
Beverly Hills, CA 90211-2227
Phone (310) 289-0901

Other identifiers 1

IdentifierTypeStateIssuer
A97561OtherCALICENCE NUMBER

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
I20121018000442 CA Practitioner - Family Practice 2769632280 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
So-Cal Community Health CenterGroup PAC ID 4880053149, 2 clinicians

Practice addresses (Care Compare)

714 N Avalon Blvd
Wilmington, CA 90744-5809
Phone (310) 522-4200

9700 Woodman Ave
Suite A10
Arleta, CA 91331-8040
Phone (818) 746-2626

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Payam John Kahen MD Inc CurrentSince Mar 26, 2023 Accepting new patients
Wilmington Urgent Care and Family Clinic Inc CurrentSince Sep 8, 2012 Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Pedram Kahen, DPM Inc. Past Accepting new patients

Locations

50 N La Cienega Blvd
Ste 200
Beverly Hills, CA 90211
Phone (310) 289-0901

714 N Avalon Blvd
Wilmington, CA 90744
Phone (310) 522-4200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1902967557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N LA CIENEGA BLVD",
            "address_2": "SUITE 200",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112227",
            "telephone_number": "310-289-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 N AVALON BLVD",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "90744",
            "telephone_number": "310-522-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHEN",
        "first_name": "PAYAM",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A97561",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A97561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE NUMBER",
            "identifier": "A97561",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, CA

Sources for this page

Verify at the official NPI Registry.