OLYMPIC ORTHOPEDIC MEDICAL GROUP
NPI 1659549400
Orthopaedic Surgery in Palmdale, CA
About Olympic Orthopedic Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLYMPIC ORTHOPEDIC MEDICAL GROUP (NPI 1659549400) is a healthcare organization registered as an orthopaedic surgery in Palmdale, California and active in the NPI registry since February 2008. The organization lists John Kayvenfar, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Olympic Orthopedic Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Olympic Orthopedic Medical Group, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 John Kayvanfar MD Inc's NPI number?
The NPI number for John Kayvanfar MD Inc is 1659549400. It was assigned to this organization in the NPPES registry on February 14, 2008. The provider is doing business as Olympic Orthopedic Medical Group.
Where is John Kayvanfar MD Inc located?
John Kayvanfar MD Inc is located at 1224 E Avenue S Ste C, Palmdale, CA 93550. The listed phone number is (661) 947-0078.
What is John Kayvanfar MD Inc's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is John Kayvanfar MD Inc enrolled in Medicare?
Yes. John Kayvanfar MD Inc is registered in the Medicare PECOS enrollment system.
When is John Kayvanfar MD Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through John Kayvanfar MD Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to John Kayvanfar MD Inc. 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 John Kayvanfar MD Inc was last updated on July 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Olympic Orthopedic Medical Group · NPI 1659549400
Orthopaedic Surgery organization in Palmdale, California. Organization record, active in the CMS NPPES registry since February 14, 2008.
## Identity
- **NPI:** 1659549400 (Entity type: Organization)
- **Enumerated:** February 14, 2008
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **Legal business name:** John Kayvanfar Md Inc
- **Organization subpart:** No
- **Authorized official:** John Kayvenfar, OWNER
## Practice location
- **Address:** 1224 E AVENUE S STE C, Palmdale, CA 93550-6180
- **Phone:** (661) 947-0078
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Orthopedic Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 10, 2008
- **Other identifiers:** Medicare PIN W13302 (CA); Medicare UPIN D72100 (CA); Medicare NSC 0619940001 (CA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1659549400) · Data from the CMS NPPES public registry.