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

Individual provider Orthopaedic Surgery Physician · NPI 1265518443

Kiarash Khajavi, MD is an Orthopedic Surgery in Fullerton, California. Graduated from Baylor College of Medicine in 2000, 26 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
26
Trained at
Baylor College of Medicine
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

2141 N Harbor Blvd Ste 35000
Fullerton, CA 92835-3827
Phone: (714) 626-8630
Fax: (714) 626-8659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence A76316 (CA)

Record details

NPI number1265518443
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 31, 2006
Last updated in NPPESSeptember 1, 2020
Certification dateSeptember 1, 2020

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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