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HAVEN HEALTH GROUP LOS ANGELES PC
NPI 1740154392
Family Medicine in Los Angeles, CA

Active since October 06, 2025
6221 WILSHIRE BLVD STE 216, LOS ANGELES, CA 90048(213) 415-2214(213) 816-6334 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Haven Health Group Los Angeles Pc NPPES

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

HAVEN HEALTH GROUP LOS ANGELES PC (NPI 1740154392) is a healthcare organization registered as a family medicine in Los Angeles, California and active in the NPI registry since October 2025. The organization lists Mike Piscadlo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1740154392
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHAVEN HEALTH GROUP LOS ANGELES PC
Location Address6221 WILSHIRE BLVD STE 216Los Angeles, CA 90048-5226
Mailing Address6221 Wilshire Blvd Ste 216Los Angeles, CA 90048-5226 · (213) 415-2214 · Fax (213) 816-6334
Phone(213) 415-2214
Fax(213) 816-6334
Organization SubpartNo
Authorized OfficialMike PiscadloCeo · (213) 415-2214
Enumeration DateOctober 6, 2025
NPPES CertifiedOctober 5, 2025
✔ NPI 1740154392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6221 WILSHIRE BLVD STE 216, Los Angeles, CA 90048
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haven Health Group Los Angeles Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Haven Health Group Los Angeles PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Vikas Jayadeva, MD
Family Practice
NPI 1215464888
8820 WILSHIRE BLVD # 102
Beverly Hills, CA 90211
(424) 315-0800
✔ PECOS1.2 mi

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 Haven Health Group Los Angeles PC's NPI number?

The NPI number for Haven Health Group Los Angeles PC is 1740154392. It was assigned to this organization in the NPPES registry on October 6, 2025.

Where is Haven Health Group Los Angeles PC located?

Haven Health Group Los Angeles PC is located at 6221 Wilshire Blvd Ste 216, Los Angeles, CA 90048. The listed phone number is (213) 415-2214.

What is Haven Health Group Los Angeles PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Haven Health Group Los Angeles PC enrolled in Medicare?

Yes. Haven Health Group Los Angeles PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Haven Health Group Los Angeles PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Haven Health Group Los Angeles PC. 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 Haven Health Group Los Angeles PC was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.