Active NPI
Peyman Kangavari, M.D.
- Diagnostic Radiology Physician
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A142937
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Cedars-Sinai Medical Center
- Memorialcare Long Beach Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.17 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A142937 | CA | MD | Neuroradiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Lambert Radiology Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Martin Luther King Jr Community Medical Foundation | Current | Accepting new patients | |
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Martin Luther King Jr Community Medical Foundation | Current | Accepting new patients | |
| Memorialcare Medical Foundation | Current | Accepting new patients | |
| Cedars-Sinai Imaging Medical Group a Professional Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Valley Physician Services PC | Current | Accepting new patients | |
| Silicon Valley Diagnostic Imaging, Inc. | Diagnostic Radiology | Past | 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
- 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.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- Clinic/Center
- Fountain Valley, CA
- NPI 1205167350
-
- Diagnostic Radiology Physician
- West Hollywood, CA
- NPI 1922135359
-
- Diagnostic Radiology Physician
- Whittier, CA
- NPI 1609826684
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1356899777
-
- Anesthesiology Physician
- Los Angeles, CA
- NPI 1043826720
-
- Radiology Clinic/Center
- Los Angeles, CA
- NPI 1346082294
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1043266760
-
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
-
- Radiology Clinic/Center
- Mountain View, CA
- NPI 1629265806
Diagnostic Radiology
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1982849105
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1962442012
-
- General Acute Care Hospital
- Paramus, NJ
- NPI 1013912633
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.