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

Keyvan Hariri, MD

Individual provider Family Medicine Physician · NPI 1093754913

Keyvan Hariri, MD is a Family Practice in Manhattan Beach, California. Qualified in 2003, 23 years ago. Practices with Providence Medical Institute, a 336-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
23
Licensed in
CA
In the registry since
2006
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

1010 N Sepulveda Blvd
Manhattan Beach, CA 90266-5929
Phone: (310) 376-6262
Fax: (310) 376-8228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A90146 (CA)

Record details

NPI number1093754913
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2006
Last updated in NPPESDecember 22, 2021
Certification dateDecember 22, 2021
Mailing address1010 N Sepulveda Blvd, Manhattan Beach, CA 90266-5929

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Providence Medical Institute — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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