Individual provider Active NPI

Tadeh Setaghian, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Lawndale, CA
National Provider Identifier
1083076376
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A175814 Issued in CA
Practice address
15901 Hawthorne Blvd Ste 240
Lawndale, CA 90260-5801
Phone
(424) 360-0066
Fax
(424) 360-0077
NPI assigned
Mar 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X A175814 CA Primary
Anesthesiology Physician 207L00000X A175814 CA

Addresses

Primary practice location

15901 Hawthorne Blvd Ste 240
Lawndale, CA 90260-5801

Mailing address

PO Box 3129
Torrance, CA 90510-3129
Phone (310) 792-3914

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220916002150 CA Practitioner - Pain ManagementPractitioner - Anesthesiology 9638466725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rostam Khoshsar M D IncGroup PAC ID 5294812335, 2 clinicians

Practice addresses (Care Compare)

15901 Hawthorne Blvd
Suite 240
Lawndale, CA 90260-5801
Phone (424) 360-0066

Hospital & facility affiliations

  • Providence Little Company of Mary Med Ctr Torrance Hospital, Torrance, CA, CCN 050353

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A175814CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rostam Khoshsar M D Inc Anesthesiology CurrentSince Aug 1, 2022 Accepting new patients

Locations

131 E Huntington Dr
Arcadia, CA 91006
Phone (626) 445-0326

15901 Hawthorne Blvd
Ste 240
Lawndale, CA 90260
Phone (424) 360-0066

14350 Whittier Blvd
Ste 310
Whittier, CA 90605
Phone (424) 360-0066

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: tsetaghian44713@epicdirect.rwjbh.org

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1083076376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3129",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905103129",
            "telephone_number": "310-792-3914",
            "fax_number": "855-898-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15901 HAWTHORNE BLVD STE 240",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902605801",
            "telephone_number": "424-360-0066",
            "fax_number": "424-360-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETAGHIAN",
        "first_name": "TADEH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-24",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A175814",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A175814",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawndale, CA

Sources for this page

Verify at the official NPI Registry.