Individual provider Active NPI

Mohammad H Rasekhi, M.D.

  • Internal Medicine Physician
  • Van Nuys, CA
National Provider Identifier
1043361546
Registry record updated Mar 7, 2023
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective May 20, 2026.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A48861 Issued in CA
Practice address
14550 Haynes St
Van Nuys, CA 91411-1613
Phone
(818) 650-6700
NPI assigned
Jan 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A48861 CA
Internal Medicine Physician 207R00000X A48861 CA Primary

Addresses

Primary practice location

14550 Haynes St
Van Nuys, CA 91411-1613

Mailing address

12100 Valley Blvd
Suite#109a
El Monte, CA 91732-3100
Phone (626) 575-7500

Other practice location 1

12100 Valley Blvd
Suite#109a
El Monte, CA 91732-3100
Phone (626) 575-7500

Other identifiers 1

IdentifierTypeStateIssuer
00A488610MedicaidCA

Other names 1

  • Michael Rasekhi Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A48861CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western United Medical Care Inc. CurrentSince Aug 1, 2013 Accepting new patients
Southern California Medical Center, Inc. CurrentSince May 3, 2011 Accepting new patients
Southern California Medical Center, Inc. CurrentSince May 3, 2011 Accepting new patients
Southern California Medical Center, Inc. Family Medicine Current Accepting new patients

Locations

12100 Valley Blvd
Ste 109A
El Monte, CA 91732
Phone (626) 575-7500

8825 Whittier Blvd
Pico Rivera, CA 90660
Phone (562) 699-3333

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1043361546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12100 VALLEY BLVD",
            "address_2": "SUITE#109A",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917323100",
            "telephone_number": "626-575-7500",
            "fax_number": "626-575-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14550 HAYNES ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111613",
            "telephone_number": "818-650-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12100 Valley Blvd",
            "address_2": "SUITE#109A",
            "address_purpose": "LOCATION",
            "city": "El Monte",
            "state": "CA",
            "postal_code": "917323100",
            "country_code": "US",
            "telephone_number": "626-575-7500",
            "fax_number": "626-575-1956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASEKHI",
        "first_name": "MOHAMMAD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-13",
        "last_updated": "2023-03-07",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A48861",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A48861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A488610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "RASEKHI",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.