SIAVASH BOLOURANI
NPI 1497119960
Surgery in Santa Monica, CA

Q: What is Siavash Bolourani's NPI number?

The NPI number for Siavash Bolourani is 1497119960. It was assigned to this individual provider in the NPPES registry on April 11, 2016.

Q: What is Siavash Bolourani's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Siavash Bolourani was last updated on May 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 11, 2016PECOS EnrolledAccepts Medicare Assignment

2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404(310) 315-6125(310) 582-7185 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 27, 2025, Dec 17, 2024 (2 updates tracked since 2024).

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About Siavash Bolourani NPPES

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

SIAVASH BOLOURANI (NPI 1497119960) is an individual surgery provider in Santa Monica, California, licensed in California (A193634) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Morristown, and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (2016).

NPPES Registry Identity

NPI1497119960

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameSIAVASH BOLOURANI

Location Address2121 SANTA MONICA BLVDSanta Monica, CA 90404-2303

Mailing Address2121 Santa Monica BlvdSanta Monica, CA 90404-2303 · (310) 315-6125 · Fax (310) 582-7185

Phone(310) 315-6125

Fax(310) 582-7185

Sole ProprietorNo

Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 2016

Enumeration DateApril 11, 2016

Last NPPES UpdateMay 27, 20252 updates tracked since enumeration

NPPES CertifiedDecember 17, 2024

✔ NPI 1497119960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in CA · A193634

Definition

A 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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 000000000000 (NJ)

2121 SANTA MONICA BLVD, Santa Monica, CA 90404

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Secondary Practice Location 1

Location 1100 Madison AveMorristown, NJ 07960-6136 · Phone (973) 971-5000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Siavash Bolourani is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719420751

PECOS Enrollment IDI20240619001296

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 90404 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

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.

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Other Providers at the Same Location NPPES 20

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

MINA RIM KANG MD

Hospitalist