Active NPI
Mohammad Ryan Khosravi, M.D.
- Plastic Surgery Physician
- Beverly Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- A84229
- Practice address
- 50 N la Cienega Blvd Ste 150
Beverly Hills, CA 90211-3143 - Phone
- (310) 247-9650
- Fax
- (310) 358-9222
- NPI assigned
- Oct 27, 2006
- Last updated
- Sep 2, 2026
- 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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | A84229 | CA | Primary |
Addresses
Primary practice location
50 N la Cienega Blvd Ste 150
Beverly Hills, CA 90211-3143
Mailing address
50 N la Cienega Blvd Ste 150
Beverly Hills, CA 90211-3143
Phone (310) 247-9650
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090102000340 | CA | Practitioner - Plastic and Reconstructive Surgery | 9234291063 |
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
50 N la Cienega Blvd
Suite 150
Beverly Hills, CA 90211-3143
Phone (310) 247-9650
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A84229 | CA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Outpatient Surgery Center Inc | Current | Accepting new patients |
Locations
50 N La Cienega Blvd
Ste 150
Beverly Hills, CA 90211
Phone (310) 247-9650
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.
-
- Ambulatory Surgical Clinic/Center
- Beverly Hills, CA
- NPI 1316455165
-
- Plastic Surgery Physician
- Beverly Hills, CA
- NPI 1215107891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1932285566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 N LA CIENEGA BLVD STE 150",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902113143",
"telephone_number": "310-247-9650",
"fax_number": "310-358-9222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 N LA CIENEGA BLVD STE 150",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902113143",
"telephone_number": "310-247-9650",
"fax_number": "310-358-9222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOSRAVI",
"first_name": "MOHAMMAD",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A84229",
"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 Sep 2, 2026; 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.