Sasha Ravaei, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA65327 Issued in CA

Practice address

2080 Century Park E Ste 1405
Los Angeles, CA 90067-2017

Phone

(310) 858-6500

NPI assigned

Nov 13, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shervin Eshaghian MD IncGroup PAC ID 5597941245, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shervin Eshaghian MD Inc

  • Cardiovascular Disease Physician
  • Los Angeles, CA
  • NPI 1285932749
  Medicare reassignment Care Compare group NPD
• Beverly Hills Cardiology Hospital Services Apc

  • Hospitalist Physician
  • West Hollywood, CA
  • NPI 1891317236
  Medicare reassignment NPD
• Aaron C. Chiang, M.D., Inc.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1902464449
  NPD
• Tourage Soleimani, M.D., Inc

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1326160862
  NPD
• Prime 5 Medical Group Inc

  • Hospitalist Physician
  • Los Angeles, CA
  • NPI 1154947695
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1003630203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E 2ND ST",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917661854",
            "telephone_number": "909-623-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 1405",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672017",
            "telephone_number": "310-858-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVAEI",
        "first_name": "SASHA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA65327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Rauser
• Louis Rauso
• Rav Tov
• Mehran Ravaei
• Ramin Ravaei, D.M.D.
• Neel Raval, M.D.
• Samine Ravanbakhsh, M.D.
• Bahareh Ravandi, MD
• Ma Glenda Jatulan Ravas, NP
• Emma Rose Ravdin

• Medical Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.