Individual provider Active NPI

Ramin Ghayoori, M.D.

  • Obstetrics & Gynecology Physician
  • Valley Village, CA
National Provider Identifier
1922297357
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A104182 Issued in CA
Practice address
12626 Riverside Dr Ste 101
Valley Village, CA 91607-3448
Phone
(310) 560-5189
NPI assigned
Oct 22, 2007
Last updated
Aug 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 248675 NY
Obstetrics & Gynecology Physician 207V00000X A104182 CA Primary

Addresses

Primary practice location

12626 Riverside Dr Ste 101
Valley Village, CA 91607-3448

Mailing address

PO Box 50203
Studio City, CA 91614-5020
Phone (212) 729-3606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20081112000452 CA Practitioner - Obstetrics/Gynecology 9133288657 Reassigns benefits to 1 organization
I20101008000271 NY Practitioner - Obstetrics/Gynecology 9133288657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12626 Riverside Dr
Suite 101
Valley Village, CA 91607-3448
Phone (310) 560-5189

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A104182CAMDObstetrics & Gynecology Physician

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1922297357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50203",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916145020",
            "telephone_number": "212-729-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12626 RIVERSIDE DR STE 101",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073448",
            "telephone_number": "310-560-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAYOORI",
        "first_name": "RAMIN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-22",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "248675",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A104182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

Verify at the official NPI Registry.