Nejat Rostami, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A48731 Issued in CA

Practice address

1080 N Western Ave
Los Angeles, CA 90029-2310

Phone

(323) 957-8787

Fax

(323) 957-8787

NPI assigned

Jan 31, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• San Judas Community Health Center, Inc

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1396235883

  Corporate Officer, W-2 Managing Employee

  CMS ownership
• San Judas Community Health Center, Inc.

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1184134827

  Corporate Officer, W-2 Managing Employee

  CMS ownership

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.

• San Judas Community Health Center, Inc.

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1184134827
  Medicare reassignment NPD Authorized official
• Cha Hollywood Medical Center, LP

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1922033547
  NPD (past)
• Good Samaritan Hospital, L.P.

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1376595777
  NPD (past)
• Good Samaritan Hospital of Suffern

  • General Acute Care Hospital
  • Suffern, NY
  • NPI 1346213469
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1114064987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 N WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292310",
            "telephone_number": "323-957-8787",
            "fax_number": "323-957-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 N WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292310",
            "telephone_number": "323-957-8787",
            "fax_number": "323-957-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSTAMI",
        "first_name": "NEJAT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A48731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOA487310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rostam Khoubyari, M.D., Inc.
• Babak Bobby Rostami, M.D. INTERNAL MEDICI
• Benjamin Rostami, MD
• Haroun Rostami, DDS.,M.S.
• Mike Mansour Rostami, M.D.
• Sabha Rostami
• Tara Rostami, MSW
• Taraneh Rostami, PSY.D.
• Sassan Rostamipour Shiroyeh, M.D.
• Clarene Dong Rosten, M.S.W.,L.C.S.W.

• Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.