Individual provider Active NPI

Ali Reza Sadrieh

  • Foot & Ankle Surgery Podiatrist
  • Beverly Hills, CA
National Provider Identifier
1013979822
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4318 Issued in CA
Practice address
430 N Roxbury Dr
Beverly Hills, CA 90210-5002
Phone
(310) 691-5411
Fax
(310) 388-1658
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4318 CA Primary

Addresses

Primary practice location

430 N Roxbury Dr
Beverly Hills, CA 90210-5002

Mailing address

9531 Santa Monica Blvd
Beverly Hills, CA 90210-4503
Phone (310) 691-5411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4318CAMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1013979822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9531 SANTA MONICA BLVD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104503",
            "telephone_number": "310-691-5411",
            "fax_number": "310-388-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N ROXBURY DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105002",
            "telephone_number": "310-691-5411",
            "fax_number": "310-388-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADRIEH",
        "first_name": "ALI",
        "middle_name": "REZA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.