Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Keivon Kianfar, PA-C

Individual provider Medical Physician Assistant · NPI 1205384575

Keivon Kianfar, PA-C is a Physician Assistant in Albuquerque, New Mexico. Qualified in 2016, 10 years ago. Practices with Hawaii Permanente Medical Group Inc, a 705-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
10
Licensed in
NM
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone: (505) 480-4849
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA2016-0091 (NM)

Record details

NPI number1205384575
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 15, 2016
Last updated in NPPESJune 8, 2023
Certification dateJune 8, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Hawaii Permanente Medical Group Inc — 705 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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