PAYMAN VAHEDIFAR A PROFESSIONAL MEDICAL CORPORATION
NPI 1053628511
Internal Medicine - Nephrology in Beverly Hills, CA

Q: What is Payman Vahedifar A Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since September 04, 2010

240 S LA CIENEGA BLVD, SUITE 102, BEVERLY HILLS, CA 90211(310) 288-0808(310) 288-0080 Get Directions Write a Review

NPPES record last updated: September 4, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Payman Vahedifar A Professional Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAYMAN VAHEDIFAR A PROFESSIONAL MEDICAL CORPORATION (NPI 1053628511) is a healthcare organization registered as a nephrology in Beverly Hills, California and active in the NPI registry since September 2010. The organization lists Payman Vahedifar, President, as its authorized official.

NPPES Registry Identity

NPI1053628511

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NamePAYMAN VAHEDIFAR A PROFESSIONAL MEDICAL CORPORATION

Location Address240 S LA CIENEGA BLVD, SUITE 102Beverly Hills, CA 90211-3324

Mailing AddressPo Box 17173Beverly Hills, CA 90209-3173 · (310) 288-0808 · Fax (310) 288-0080

Phone(310) 288-0808

Fax(310) 288-0080

Organization SubpartNo

Authorized OfficialPayman VahedifarPresident · (310) 288-0808

Enumeration DateSeptember 4, 2010

✔ NPI 1053628511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

240 S LA CIENEGA BLVD, Beverly Hills, CA 90211

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Payman Vahedifar A Professional Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Payman Vahedifar A Professional Medical Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Payman Vahedifar, M.D

Internal Medicine

NPI 1275522096

8635 W 3RD ST STE# 865W
Los Angeles, CA 90048

(310) 659-1654

✔ PECOS✔ Accepts Medicare0.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Payman Vahedifar A Professional Medical Corporation's NPI number?

The NPI number for Payman Vahedifar A Professional Medical Corporation is 1053628511. It was assigned to this organization in the NPPES registry on September 4, 2010.

Where is Payman Vahedifar A Professional Medical Corporation located?

Payman Vahedifar A Professional Medical Corporation is located at 240 S La Cienega Blvd Suite 102, Beverly Hills, CA 90211. The listed phone number is (310) 288-0808.

What is Payman Vahedifar A Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Payman Vahedifar A Professional Medical Corporation enrolled in Medicare?

Yes. Payman Vahedifar A Professional Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Payman Vahedifar A Professional Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Payman Vahedifar A Professional Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Payman Vahedifar A Professional Medical Corporation was last updated on September 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.