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

Bryan Daniel Kimiabakhsh, MD, MS

Individual provider Internal Medicine Physician · NPI 1063078764

Bryan Daniel Kimiabakhsh, MD, MS is an Internal Medicine in Santa Monica, California. Graduated from New York Medical College in 2018, 8 years ago. Practices with Providence Saint Johns Medical Foundation, a 285-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
8
Trained at
New York Medical College
Licensed in
CA
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

2021 Santa Monica Blvd Ste 625E
Santa Monica, CA 90404-2169
Phone: (310) 829-8948
Fax: (424) 212-5937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 745 W Moana Ln, Reno, NV 89509-4991 — (775) 420-6578
  • 38 Hemlock Drive, Great Neck, NY 11024 — (516) 984-9199
  • 222 Station Plaza, Mineola, NY 11501 — (516) 663-8794

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A196784 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063078764
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MS
Sole proprietorNo
NPI enumeratedMay 17, 2019
Last updated in NPPESJanuary 2, 2025
Certification dateJanuary 2, 2025

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2018 (8 years in practice)
Group practice Providence Saint Johns Medical Foundation — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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