Individual provider Active NPI

Janet Vafaie, M.D.

  • Dermatology Physician
  • Los Angeles, CA
National Provider Identifier
1942465232
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A90755 Issued in CA
Practice address
10921 Wilshire Blvd
Ste 800
Los Angeles, CA 90024-4003
Phone
(310) 456-5459
Fax
(310) 456-5469
NPI assigned
Jul 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0101X A90755 CA
Dermatology Physician 207N00000X A90755 CA Primary

Addresses

Primary practice location

10921 Wilshire Blvd
Ste 800
Los Angeles, CA 90024-4003

Mailing address

10647 Ashton Ave
Unit 302
Los Angeles, CA 90024-5288
Phone (310) 456-5459

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
I20081121000478 CA Practitioner - Dermatology 3678633559 Practice locations: Los Angeles, CA; Malibu, CA

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
George Washington University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10921 Wilshire Blvd
Suite 800
Los Angeles, CA 90024-4003
Phone (310) 456-5459

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions173
Removal of skin cancer85
Skin biopsy397

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A90755CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maugeri and Chinn, a Chiropractic Corporation Past Accepting new patients
James H.Sternberg, M.D. a Medical Corporation Single Specialty Past Accepting new patients
Eugene Lam MD Inc Single Specialty Past Accepting new patients
Primary Caring of Malibu Medical Single Specialty PastSince Apr 1, 2004 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25592/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1942465232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10647 ASHTON AVE",
            "address_2": "UNIT 302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245288",
            "telephone_number": "310-456-5459",
            "fax_number": "310-456-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10921 WILSHIRE BLVD",
            "address_2": "STE 800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244003",
            "telephone_number": "310-456-5459",
            "fax_number": "310-456-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAFAIE",
        "first_name": "JANET",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A90755",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A90755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.