Simon Kangavari, M.D

NPI: 1710984208

Simon Kangavari, M.D

Q: What is Simon Kangavari's NPI number?

Simon Kangavari's NPI number is 1710984208, a unique 10-digit identifier issued by CMS.

Q: What does Simon Kangavari specialize in?

Simon Kangavari specializes in Specialty not listed, taxonomy code 174400000X.

Q: Where does Simon Kangavari practice?

Simon Kangavari practices in Inglewood, CA 90301-4054.

Q: When was Simon Kangavari's NPI issued?

Simon Kangavari's NPI was issued on June 30, 2005.

Q: What is Simon Kangavari's provider type?

Simon Kangavari is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderSpecialty not listed

NPI issued: June 30, 2005

Quick Facts

NPI Number

1710984208

TypeIndividual

StatusActive

SpecialtySpecialty not listed

Taxonomy174400000X — Specialty not listed

Phone

(310) 672-3900

StateCA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1710984208)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (June 30, 2005)

Data source: CMS NPPES

Provider Overview

SIMON KANGAVARI, M.D is a Healthcare provider based in Inglewood, CA who has been registered with CMS since 2005. They are affiliated with Southern California Permanente Medical Group. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1710984208

Provider TypeIndividual Provider

GenderMale

CredentialM.D

StatusActive

Enumeration DateJune 30, 2005

Practice Location

CityInglewood

StateCA

ZIP Code90301-4054

Phone(310) 672-3900

Specialties & Licenses

★ Primary

SpecialtySpecialty not listed

Taxonomy Code174400000X

License StateCA

Mailing Address

CityInglewood

StateCA

ZIP Code90301-4054

Phone(310) 672-3900

Same as practice location

Hospital & Organization Affiliations

🏢

Southern California Permanente Medical Group

📍 Los Angeles, CA

Hospital NPIY→

How to Use This NPI

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For Insurance Billing

Use NPI 1710984208 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1710984208for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1710984208 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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