Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ardeshir Khosraviani, MD

Individual provider Internal Medicine Physician · NPI 1346569779

Ardeshir Khosraviani, MD is an Internal Medicine in Hemet, California. Qualified in 2006, 20 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Licensed in
CA
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3989 W Stetson Ave Ste 202
Hemet, CA 92545-9695
Phone: (951) 652-3558
Fax: (951) 652-5547
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence A122319 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A122319 (CA)

Record details

NPI number1346569779
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 25, 2010
Last updated in NPPESNovember 29, 2021
Mailing addressPo Box 54130, Los Angeles, CA 90054-0130

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesNEPHROLOGY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hemet