Organization Active NPI

Payam Daneshrad MD Inc

  • Otolaryngology Physician
  • Santa Monica, CA
National Provider Identifier
1952568305
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A71327 Issued in CA
Legal business name
PAYAM DANESHRAD MD INC
Practice address
1304 15TH St Ste 407
Santa Monica, CA 90404-1813
Phone
(310) 453-6500
Fax
(310) 453-6681
NPI assigned
May 21, 2008
Organization subpart
Yes
Parent organization
PAYAM DANESHRAD MD INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Authorized official

Name
Dr. Payam DaneshradNPI 1902959307
Title
Physician
Phone
(310) 453-6500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X A71327 CA Primary

Addresses

Primary practice location

1304 15TH St Ste 407
Santa Monica, CA 90404-1813

Mailing address

1304 15TH St Ste 407
Santa Monica, CA 90404-1813
Phone (310) 453-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080520000789 CA Part B Supplier - Clinic/Group Practice 0143399873 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Monica, CA

National Provider Directory

National Provider Directory
Part of
Payam Daneshrad MD Inc

Locations

8907 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 453-6500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1952568305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 15TH ST STE 407",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041813",
            "telephone_number": "310-453-6500",
            "fax_number": "310-453-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 15TH ST STE 407",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041813",
            "telephone_number": "310-453-6500",
            "fax_number": "310-453-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYAM DANESHRAD MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAYAM DANESHRAD MD INC",
        "enumeration_date": "2008-05-21",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "DANESHRAD",
        "authorized_official_first_name": "PAYAM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "310-453-6500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A71327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.