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

Siavash Bolourani

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1497119960

Siavash Bolourani is a General Surgery in Santa Monica, California. Graduated from R Franklin University of Med & SCI/Chicago Medical School in 2016, 10 years ago. Practices with Providence Saint Johns Medical Foundation, a 285-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and New Jersey.

Years since qualifying
10
Trained at
R Franklin University of Med & SCI/Chicago Medical School
Licensed in
CA, NJ
In the registry since
2016
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2121 Santa Monica Blvd
Santa Monica, CA 90404-2303
Phone: (310) 315-6125
Fax: (310) 582-7185
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Madison Ave, Morristown, NJ 07960-6136 — (973) 971-5000

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence A193634 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 000000000000 (NJ)

Record details

NPI number1497119960
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 11, 2016
Last updated in NPPESMay 27, 2025
Certification dateDecember 17, 2024

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolR FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduated 2016 (10 years in practice)
Group practice Providence Saint Johns Medical Foundation — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Santa Monica