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DR. KHODAM-RAD PAYMAN M.D.
NPI 1841392610
Specialist in Encino, CA

Active since September 02, 2006Opted out of Medicare · through Jan 1, 2028
17525 VENTURA BLVD, SUITE 203, ENCINO, CA 91316(818) 986-0200(818) 986-4393 Get Directions Write a Review

NPPES record last updated: September 22, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Khodam-rad Payman M.d. NPPES

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

DR. KHODAM-RAD PAYMAN M.D. (NPI 1841392610) is an individual specialist in Encino, California, licensed in California (A75190) and active in the NPI registry since September 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1841392610
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. KHODAM-RAD PAYMANCredential: M.D.
Location Address17525 VENTURA BLVD, SUITE 203Encino, CA 91316-3843
Mailing Address17525 Ventura Blvd, Suite 203Encino, CA 91316-3843 · (818) 986-0200 · Fax (818) 986-4393
Phone(818) 986-0200
Fax(818) 986-4393
Sole ProprietorNo
Enumeration DateSeptember 2, 2006
Last NPPES UpdateSeptember 22, 2008
✔ NPI 1841392610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A75190
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.
17525 VENTURA BLVD, Encino, CA 91316
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Other Identifiers 4

Medicare UPINI05754CA
OtherA75190CA · Ca License
Medicare ID-Type UnspecifiedWA75190ACA · Medicare Ppin
Medicare ID-Type UnspecifiedWA75190BCA · Medicare Ppin

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Khodam-rad Payman M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2014 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2014
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 16

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

DR. BABAK K. DARVISH MD
Physical Medicine & Rehabilitation (Neuromuscular Medicine)
17525 VENTURA BLVD, SUITE #203
ENCINO, CA 91316
Los Angeles County (818) 225-5362
DR. ELLEN SHIRMAN PSY.D.
Psychologist
17525 VENTURA BLVD, STE 307
ENCINO, CA 91316
Los Angeles County (818) 995-4477
DR. GRAHAM A. PURCELL MD
Orthopaedic Surgery
17525 VENTURA BLVD, SUITE 203
ENCINO, CA 91316
Los Angeles County (818) 986-0200
GRAHAM A. PURCELL, M.D., INC.
Orthopaedic Surgery
17525 VENTURA BLVD, SUITE 203
ENCINO, CA 91316
Los Angeles County (818) 986-0200
CLIFFORD ROBERT KAHN M.D.
Orthopaedic Surgery
17525 VENTURA BLVD, SUITE 203
ENCINO, CA 91316
Los Angeles County (818) 986-3366
KHODAMRAD PAYMAN, M.D., INC.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
17525 VENTURA BLVD, SUITE 203
ENCINO, CA 91316
Los Angeles County (818) 986-0200
REJUVENATION SURGICENTER
Clinic/Center (Ambulatory Surgical)
17525 VENTURA BLVD, SUITE 101
ENCINO, CA 91316
Los Angeles County (818) 783-5050
SHELBY DILLER O.T.
Occupational Therapist
17525 VENTURA BLVD, #205A
ENCINO, CA 91316
Los Angeles County (818) 377-4800

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 Khodam-rad Payman's NPI number?

The NPI number for Khodam-rad Payman is 1841392610. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Khodam-rad Payman located?

Khodam-rad Payman practices at 17525 Ventura Blvd Suite 203, Encino, CA 91316. The listed phone number is (818) 986-0200.

What is Khodam-rad Payman's specialty?

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

Is Khodam-rad Payman enrolled in Medicare?

No. Khodam-rad Payman has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Khodam-rad Payman was last updated on September 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.