Katy Setoodeh, M.D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

A84887 Issued in CA

Practice address

2121 Santa Monica Blvd Ste 335E
Santa Monica, CA 90404-2303

Phone

(310) 582-7312

Fax

(310) 315-6173

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ksetoodeh476672@oc.providencedirect.org

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.

• Katy M. Setoodeh, MD, Inc

  • Specialist
  • Beverly Hills, CA
  • NPI 1154669315
  NPD Authorized official
• Rancho Faculty Medical Associates, Inc.

  • General Acute Care Hospital
  • Downey, CA
  • NPI 1750317970
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1053529990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 491896",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900498896",
            "telephone_number": "818-986-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 SANTA MONICA BLVD STE 335E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042303",
            "telephone_number": "310-582-7312",
            "fax_number": "310-315-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETOODEH",
        "first_name": "KATY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A84887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksetoodeh476672@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2121 Santa Monica Blvd Ste 335E",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904042303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Carmen Serrano
• Parisa Serri, L.AC.
• Seth Ahlquist MD Professional Corporation
• Bradley G Seto, D.D.S.
• Brandon Seto, DDS, MSD
• Kristin Sewnig, FNP-BC
• Begum Serena Sezer, MD
• Carolyn B. Shadduck, PH.D., PSY.D.
• Shauna Shafai
• Sina Shafiei, M.D

• Rheumatology Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Rheumatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.