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SIMON KANGAVARI M.D.
NPI 1710984208
Specialist in Inglewood, CA

Active since June 30, 2005PECOS EnrolledAccepts Medicare Assignment
501 E HARDY ST, SUITE 200, INGLEWOOD, CA 90301(310) 672-3900(310) 671-8438 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Simon Kangavari M.d. NPPES

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

SIMON KANGAVARI M.D. (NPI 1710984208) is an individual specialist in Inglewood, California and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (1998).

NPPES Registry Identity

NPI1710984208
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameSIMON KANGAVARICredential: M.D.
Location Address501 E HARDY ST, SUITE 200Inglewood, CA 90301-4054
Mailing Address501 E Hardy St, Suite 200Inglewood, CA 90301-4054 · (310) 672-3900 · Fax (310) 671-8438
Phone(310) 672-3900
Fax(310) 671-8438
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 1998
Enumeration DateJune 30, 2005
Last NPPES UpdateDecember 8, 2021
✔ NPI 1710984208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
501 E HARDY ST, Inglewood, CA 90301
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Other Identifiers 3

OtherW10766CA · Medicare Provider Id
Other95-4170981CA · Apex Cardiology Prov Id
OtherA69521CA · Medical License

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

Simon Kangavari M.d. 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 ID7113962150
PECOS Enrollment IDI20050621000810
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.

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.

MR. ERIC E CHEW PA-C
Physician Assistant (Medical)
501 E HARDY ST, SUITE 200
INGLEWOOD, CA 90301
Los Angeles County (310) 672-3900
DR. MARIO ANTONIO PACADA DPM
Podiatrist
501 E HARDY ST
INGLEWOOD, CA 90301
Los Angeles County (562) 209-0713
MARJAN CHEGOUNCHI MD INC
Internal Medicine (Nephrology)
501 E HARDY ST, STE 205
INGLEWOOD, CA 90301
Los Angeles County (310) 671-6364
MARY PINERO, DPT PHYSICAL THERAPY, PC
Clinic/Center (Physical Therapy)
501 E HARDY ST, SUITE 410
INGLEWOOD, CA 90301
Los Angeles County (310) 412-0100
MICHAEL F ROBINSON M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
501 E HARDY ST, SUITE 425
INGLEWOOD, CA 90301
Los Angeles County (310) 419-4303
DR. JACK J FARAHI M.D.
Specialist
501 E HARDY ST, STE 200
INGLEWOOD, CA 90301
Los Angeles County (310) 672-3900
DR. MARJAN CHEGOUNCHI MD
Internal Medicine
501 E HARDY ST, STE 205
INGLEWOOD, CA 90301
Los Angeles County (310) 671-6364
KENNETH NAZARI MD A MEDICAL CORPORATION
Psychiatry & Neurology (Psychiatry)
501 E HARDY ST, #424
INGLEWOOD, CA 90301
Los Angeles County (775) 751-0777

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 Simon Kangavari's NPI number?

The NPI number for Simon Kangavari is 1710984208. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Simon Kangavari located?

Simon Kangavari practices at 501 E Hardy St Suite 200, Inglewood, CA 90301. The listed phone number is (310) 672-3900.

What is Simon Kangavari's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Simon Kangavari enrolled in Medicare?

Yes. Simon Kangavari is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Simon Kangavari was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.