Individual provider Active NPI

Yoram M Haviv, M.D.

  • Plastic Surgery Physician
  • Santa Monica, CA
National Provider Identifier
1942348313
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
C41860 Issued in CA
Practice address
2001 Santa Monica Blvd Ste 665W
Santa Monica, CA 90404-2118
Phone
(310) 828-2884
Fax
(310) 829-1260
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X C41860 CA Primary

Addresses

Primary practice location

2001 Santa Monica Blvd Ste 665W
Santa Monica, CA 90404-2118

Mailing address

2001 Santa Monica Blvd Ste 665W
Santa Monica, CA 90404-2118
Phone (310) 828-2884

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
I20120221000397 CA Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 4082872171 Practice locations: Santa Monica, CA

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2001 Santa Monica Blvd
Santa Monica, CA 90404-2184
Phone (310) 828-2844

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13
Removal of tissue1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C41860CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Saint John's Health Center Past Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
The Regents of the University of California Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: yhaviv38461@direct.uclahealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942348313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD STE 665W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042118",
            "telephone_number": "310-828-2884",
            "fax_number": "310-829-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD STE 665W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042118",
            "telephone_number": "310-828-2884",
            "fax_number": "310-829-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVIV",
        "first_name": "YORAM",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "C41860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.