DR. PEYMAN BENHARASH MD NPI 1003000639

Surgery in Los Angeles, CA

Individual Male Surgery PECOS Enrolled Accepts Medicare Years Experience 18

About PEYMAN BENHARASH

Peyman Benharash is a provider established in Los Angeles, California and his medical specialization is surgery with more than 18 years of experience. The NPI number of Peyman Benharash is 1003000639 and was assigned on August 2007. The practitioner's primary taxonomy code is 208600000X with license number A85379 (CA). The provider is registered as an individual and his NPI record was last updated November 2019. Peyman Benharash is enrolled in PECOS and is registered with Medicare and accepts claims assignment. According to Medicare claims data the provider has hospital affiliations with Ronald Reagan U C L A Medical Center.

NPI

1003000639

Provider NameDR. PEYMAN BENHARASH MD
Provider Location Address10833 LECONTE AVE ROOM 62-215 LOS ANGELES, CA 90095
Provider Mailing Address5767 W CENTURY BLVD SUITE 400 LOS ANGELES, CA 90045
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE
Graduation Year2002
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date08-27-2007
Last Update Date11-18-2019

Primary Taxonomy

Taxonomy Code208600000X
ClassificationSurgery
TypeAllopathic & Osteopathic Physicians
License No.A85379
License StateCA
Taxonomy DescriptionA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Business Address

DR. PEYMAN BENHARASH MD
10833 LECONTE AVE ROOM 62-215
LOS ANGELES, CA
ZIP 90095
Phone: (310) 206-6717
Fax: (310) 206-5901

Get Directions

Mailing Address

DR. PEYMAN BENHARASH MD
5767 W CENTURY BLVD
SUITE 400
LOS ANGELES, CA
ZIP 90045
Phone:

Secondary Locations

100 Ucla Medical Plz Ste 730
Los Angeles, CA 90024
(310) 206-6717

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare’s enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID8527252766
PECOS Enrollment IDI20101101001099
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affilition the clinician must have provided services to at least three patients on three different dates in the last 12 months.

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN)
RONALD REAGAN U C L A MEDICAL CENTER757 WESTWOOD PLAZA
LOS ANGELES, CA 90095
(310) 825-6301Acute Care Hospitals050262

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
00A853790MEDICAID (05)CA

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.