Individual provider Active NPI

Siamak Dardashti, MD

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1013942713
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G80392 Issued in CA
Practice address
1516 Cotner Ave
Los Angeles, CA 90025-3303
Phone
(310) 445-2951
Fax
(310) 479-1459
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X G80392 CA
Diagnostic Radiology Physician 2085R0202X G80392 CA Primary

Addresses

Primary practice location

1516 Cotner Ave
Los Angeles, CA 90025-3303

Mailing address

1516 Cotner Ave
Los Angeles, CA 90025-3303
Phone (310) 445-2951

Other identifiers 2

IdentifierTypeStateIssuer
GR0106039MedicaidCA
00G803920MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031107000564 CA Practitioner - Diagnostic Radiology 5799698510 Reassigns benefits to 8 organizations
I20210822000014 AZ Practitioner - Diagnostic Radiology 5799698510

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians
Prohealth Advanced Imaging Medical Group IncGroup PAC ID 1557379096, 13 clinicians

Practice addresses (Care Compare)

10102 Beverly Dr
Huntington Beach, CA 92646-5415
Phone (480) 306-6949

10767 Riverside Dr
North Hollywood, CA 91602-2324
Phone (818) 301-6700

155 N San Vicente Blvd
Simonmed Imaging San Vicente
Beverly Hills, CA 90211-2303
Phone (323) 433-7800

24 Pacific GRV
Irvine, CA 92602-1017
Phone (480) 306-6949

24022 Calle de la Plata
Suite 100
Laguna Hills, CA 92653-3627
Phone (949) 330-8996

3531 Fashion Way
2 Simonmed Imaging Torrance
Torrance, CA 90503-3809
Phone (310) 974-1260

6185 Paseo del Norte
110 Simonmed Imaging Carlsbad
Carlsbad, CA 92011-1152
Phone (760) 585-7524

783 Westholme Ave
Siamak Dardashti MD
Los Angeles, CA 90024-3315
Phone (480) 306-6949

8370 Wilshire Blvd
110 Simonmed Imaging Beverly Hills Stand Up
Beverly Hills, CA 90211-2334
Phone (323) 966-0000

8901 Activity Rd
Suite 103
San Diego, CA 92126-4436
Phone (619) 354-4070

9134 W Olympic Blvd
Simonmed Imaging Beverly Hills Olympic
Beverly Hills, CA 90212-3540
Phone (424) 421-7140

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.3 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G80392CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cigna Health Care of Arizona Inc Current Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Aug 7, 2023 Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Jun 24, 2022 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Sep 26, 2020 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Mar 12, 2007 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Aug 7, 2023 Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Jun 24, 2022 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Current Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Aug 12, 2020 Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Santa Ana Tustin Radiology Medical Group Diagnostic Radiology Past Accepting new patients

Locations

1717 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 281-7565

4915 E Baseline Rd
Ste 116
Gilbert, AZ 85234
Phone (480) 354-9200

5891 W Eugie Ave
Glendale, AZ 85304
Phone (602) 588-6600

6811 E Superstition Springs Blvd
Mesa, AZ 85209
Phone (480) 641-4000

1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500

1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

2302 N 75th Ave
Phoenix, AZ 85035
Phone (623) 849-7500

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800

1920 E Baseline Rd
Tempe, AZ 85283
Phone (480) 345-5000

2301 Bahamas Dr
Bakersfield, CA 93309

3838 San Dimas St
Ste A120
Bakersfield, CA 93301
Phone (661) 328-9600

9330 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 325-6800

1817 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 325-6800

8370 Wilshire Blvd
Ste 110
Beverly Hills, CA 90211
Phone (323) 966-0000

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

99 N La Cienega Blvd
Ste 103
Beverly Hills, CA 90211
Phone (310) 315-0101

155 N San Vicente Blvd
#1182
Beverly Hills, CA 90211
Phone (323) 433-7800

455 Hickey Blvd
Ste 200
Daly City, CA 94015
Phone (650) 757-2030

16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843

2336 Santa Monica Blvd
Ste 206
Santa Monica, CA 90404
Phone (310) 315-1000

2428 Santa Monica Blvd
Ste 100
Santa Monica, CA 90404
Phone (310) 264-1777

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1013942713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 COTNER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253303",
            "telephone_number": "310-445-2951",
            "fax_number": "310-479-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 COTNER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253303",
            "telephone_number": "310-445-2951",
            "fax_number": "310-479-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARDASHTI",
        "first_name": "SIAMAK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "CA",
            "license": "G80392",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G80392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0106039",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G803920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.