Individual provider Active NPI

Peyman Kangavari, M.D.

  • Diagnostic Radiology Physician
  • Long Beach, CA
National Provider Identifier
1962821207
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A142937 Issued in CA
Practice address
2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone
(562) 933-2000
NPI assigned
Apr 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X A142937 CA
Diagnostic Radiology Physician 2085R0202X A142937 CA Primary

Addresses

Primary practice location

2801 Atlantic Ave
Long Beach, CA 90806-1701

Mailing address

8630 Burton Way Apt 204
Los Angeles, CA 90048-3952
Phone (310) 801-1551

Other practice location 1

8700 Beverly Blvd # M335
West Hollywood, CA 90048-1804
Phone (310) 423-8000

Other practice location 2

8630 Burton Way Apt 204
Los Angeles, CA 90048-3952
Phone (562) 933-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NJ2 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
I20190923003466 CA Practitioner - Diagnostic Radiology 5294065900 Reassigns benefits to 6 organizations
I20260214000541 NJ Practitioner - Diagnostic Radiology 5294065900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York at Stony Brook, School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians
Memorialcare Medical FoundationGroup PAC ID 8729277314, 555 clinicians
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

10701 Wilshire Blvd
Apt 2205
Los Angeles, CA 90024-4480
Phone (201) 447-8000

2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 933-1554

4 Valley Health PLZ
Paramus, NJ 07652-3619
Phone (800) 825-5391

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-3277

Hospital & facility affiliations

  • Valley Hospital Hospital, Paramus, NJ, CCN 310012
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625
  • Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
81.15
Promoting interoperability
100
Improvement activities
40
Cost
71.64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A142937CAMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Sep 10, 2025 Accepting new patients
Lambert Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Sep 1, 2020 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Jul 1, 2019 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Sep 10, 2025 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Jul 1, 2019 Accepting new patients
Memorialcare Medical Foundation CurrentSince Aug 6, 2021 Accepting new patients
Cedars-Sinai Imaging Medical Group a Professional Corporation Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Valley Physician Services PC CurrentSince Oct 4, 2025 Accepting new patients
Silicon Valley Diagnostic Imaging, Inc. Diagnostic Radiology PastSince Oct 1, 2023 Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Bristol Park Medical Group, Inc Past Accepting new patients
The Regents of the University of California Past Accepting new patients

Locations

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

757 Westwood Plz
Ste 1638
Los Angeles, CA 90095
Phone (310) 267-8796

1250 16th St
Santa Monica, CA 90404
Phone (310) 301-8695

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

8700 Beverly Blvd
#M335
West Hollywood, CA 90048
Phone (310) 423-6744

8700 Beverly Blvd
Ste M335
West Hollywood, CA 90048
Phone (310) 423-5720

12401 Washington Blvd
#1182
Whittier, CA 90602
Phone (562) 698-0611

12401 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0611

Interoperability endpoints

  • Direct secure messaging: peyman.kangavarimd.p105@direct.nautilus.nextgenshare.com

Organizations & group practices 12

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 4

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1962821207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8630 BURTON WAY APT 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483952",
            "telephone_number": "310-801-1551",
            "fax_number": "310-301-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061701",
            "telephone_number": "562-933-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8700 Beverly Blvd # M335",
            "address_purpose": "LOCATION",
            "city": "West Hollywood",
            "state": "CA",
            "postal_code": "900481804",
            "country_code": "US",
            "telephone_number": "310-423-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8630 Burton Way Apt 204",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900483952",
            "country_code": "US",
            "telephone_number": "562-933-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANGAVARI",
        "first_name": "PEYMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "A142937",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A142937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.