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

Q: 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.

Q: What is Ron Javdan's specialty?

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

Q: When was this NPI record last updated?

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

On this page

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

Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

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.

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)