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DR. RON JAVDAN M.D.
NPI 1093878258
Internal Medicine - Cardiovascular Disease in Los Angeles, CA

Active since December 19, 2006PECOS Enrolled
3631 CRENSHAW BLVD STE 109, LOS ANGELES, CA 90016(323) 732-0100(323) 732-0104 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Ron Javdan M.d. NPPES

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

DR. RON JAVDAN M.D. (NPI 1093878258) is an individual cardiovascular disease provider in Los Angeles, California, licensed in California (C50454) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Peters.

NPPES Registry Identity

NPI1093878258
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. RON JAVDANCredential: M.D.
Location Address3631 CRENSHAW BLVD STE 109Los Angeles, CA 90016-4869
Mailing Address6 Jungermann Cir, Suite 203Saint Peters, MO 63376-1621 · (636) 928-1822 · Fax (636) 441-7033
Phone(323) 732-0100
Fax(323) 732-0104
Sole ProprietorYes
Enumeration DateDecember 19, 2006
Last NPPES UpdateApril 22, 2025
NPPES CertifiedApril 22, 2025
✔ NPI 1093878258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in CA · C50454✔ Licensed in MO · R8435
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
3631 CRENSHAW BLVD STE 109, Los Angeles, CA 90016
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Secondary Practice Location 1

Location 16 Jungermann Cir, Suite 203Saint Peters, MO 63376-1621 · Phone (636) 928-1822 · Fax (636) 441-7033

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ron Javdan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ron Javdan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Benevolence Industries Incorporated
Same address
Federally Qualified Health Center (FQHC)
3631 CRENSHAW BLVD, 109
Los Angeles, CA 90016
  • Reassigned Medicare billing, California enrollment
  • 12 clinicians in this Medicare group
NPI 1578763207 (323) 732-0100

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers18 claims42 services$4.61 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers14 claims18 services$0.93 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers11 claims11 services$19.32 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers15 claims15 services$6.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARSHA SALLY ORTALEZA TANARE FNP-C
Nurse Practitioner (Family)
3631 CRENSHAW BLVD STE 109
LOS ANGELES, CA 90016
Los Angeles County (323) 732-0100
FRANCES RELAMPAGOS PA
Physician Assistant (Medical)
3631 CRENSHAW BLVD STE 109
LOS ANGELES, CA 90016
Los Angeles County (323) 732-0100
DR. MAIYA COOPER MILLER OD
Optometrist
3631 CRENSHAW BLVD STE 109
LOS ANGELES, CA 90016
Los Angeles County (323) 732-0100
DR. ZOYA MINASYAN PHD, FNP-C, MSN-EDU
Nurse Practitioner (Family)
3631 CRENSHAW BLVD STE 109
LOS ANGELES, CA 90016
Los Angeles County (323) 732-0100
URMI BHATTACHARYYA DDS
Dentist
3631 CRENSHAW BLVD STE 109
LOS ANGELES, CA 90016
Los Angeles County (800) 300-6664
EVA KANSIIME MANNING NP
Nurse Practitioner (Family)
3631 CRENSHAW BLVD STE 109
LOS ANGELES, CA 90016
Los Angeles County (818) 209-8309

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 Ron Javdan's NPI number?

The NPI number for Ron Javdan is 1093878258. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Ron Javdan located?

Ron Javdan practices at 3631 Crenshaw Blvd Ste 109, Los Angeles, CA 90016. The listed phone number is (323) 732-0100.

What is Ron Javdan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Ron Javdan enrolled in Medicare?

Yes. Ron Javdan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ron Javdan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ron Javdan reassigns Medicare benefits to Benevolence Industries Incorporated (Los Angeles, CA). The 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 Ron Javdan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ron Javdan was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.