Individual provider Active NPI

Kamran Parsa, DO

  • Neurological Surgery Physician
  • Palmdale, CA
National Provider Identifier
1982867669
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
20A11025 Issued in CA
Practice address
1120 W Avenue M4
Palmdale, CA 93551-1432
Phone
(661) 480-2377
NPI assigned
Jul 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA
Neurological Surgery Physician 207T00000X 20A11025 CA Primary

Addresses

Primary practice location

1120 W Avenue M4
Palmdale, CA 93551-1432

Mailing address

1120 W Avenue M4
Palmdale, CA 93551-1432
Phone (661) 480-2377

Other practice location 1

38420 5th St W Ste E
Palmdale, CA 93551-4430
Phone (661) 480-2377

Other practice location 2

16661 Ventura Blvd Ste 707
Encino, CA 91436-4825
Phone (661) 480-2377

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
I20150812009273 CA Practitioner - Neurosurgery 1052539822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Western University of Health Sciences College of Dental Med, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr Kamran Parsa IncGroup PAC ID 4880909308, 22 clinicians

Practice addresses (Care Compare)

1120 W Ave
M4
Palmdale, CA 93551-1432
Phone 6614802377207

Hospital & facility affiliations

  • Palmdale Regional Medical Center Hospital, Palmdale, CA, CCN 050204
  • Mission Community Hospital Hospital, Panorama City, CA, CCN 050704

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion47
Laminectomy or laminotomy (partial removal of spine bones)38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A11025CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Era Medical Inc Neurological Surgery Current Accepting new patients
Sleep Medical Inc Current Accepting new patients
Skyline Surgery Center LLC Past Accepting new patients
Lancaster Hospital Corporation Past Accepting new patients
Trias Global, LLC Past Accepting new patients
Deanco Healthcare LLC. Past Accepting new patients

Locations

1120 W Avenue M4
Palmdale, CA 93551
Phone (661) 480-2377

1120 W Avenue M4
Ste G
Palmdale, CA 93551

1120 W Avenue M4
Ste E
Palmdale, CA 93551

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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 2

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": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1982867669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W AVENUE M4",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511432",
            "telephone_number": "661-480-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W AVENUE M4",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511432",
            "telephone_number": "661-480-2377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38420 5th St W Ste E",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "935514430",
            "country_code": "US",
            "telephone_number": "661-480-2377",
            "fax_number": "661-480-2378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16661 Ventura Blvd Ste 707",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914364825",
            "country_code": "US",
            "telephone_number": "661-480-2377",
            "fax_number": "661-480-2378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARSA",
        "first_name": "KAMRAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "20A11025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.