Individual provider Active NPI

Rana Fattahi, MD

  • Diagnostic Radiology Physician
  • Saint Louis, MO
National Provider Identifier
1114155405
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2014008223 Issued in MO
Practice address
510 S Kingshighway Blvd
Saint Louis, MO 63110-1016
Phone
(314) 362-7200
Fax
(314) 747-4189
NPI assigned
Jun 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2014008223 MO Primary

Addresses

Primary practice location

510 S Kingshighway Blvd
Saint Louis, MO 63110-1016

Mailing address

660 S Euclid Ave
C B 8131
Saint Louis, MO 63110-1010
Phone (314) 362-7200

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
I20180608002345 CA Practitioner - Diagnostic Radiology 1759513252 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden State Imaging Associates IncGroup PAC ID 1254761315, 242 clinicians
Renaissance Imaging Medical Associates IncGroup PAC ID 7315841756, 126 clinicians
City of Hope Medical FoundationGroup PAC ID 3779751656, 964 clinicians
Silicon Valley Diagnostic Imaging IncGroup PAC ID 5496838518, 78 clinicians
El Camino Health Medical Network LLCGroup PAC ID 6103115183, 202 clinicians

Practice addresses (Care Compare)

10 Blanchard
Irvine, CA 92603-3455
Phone (818) 639-2901

1000 Fivepoint
Irvine, CA 92618-2377
Phone (949) 671-4673

1100 San Bernardino Rd
Suite 1100
Upland, CA 91786-4923
Phone (909) 949-2242

1177 Elmsford CT
Cupertino, CA 95014-4907
Phone (408) 866-4075

1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 256-4673

1500 E Duarte Rd
Duarte, CA 91010-3012

1601 Avocado Ave
Newport Beach, CA 92660-7798
Phone (949) 763-2204

209 Fair Oaks Ave
South Pasadena, CA 91030-1814
Phone (626) 396-2900

2500 Grant Rd
Mountain View, CA 94040-4302
Phone (408) 866-4075

320 W 6TH St
Corona, CA 92882-3349
Phone (951) 898-2828

625 Lincoln Ave
San Jose, CA 95126-3785
Phone (408) 871-3400

7 Nightshore
Newport Beach, CA 92657-1519
Phone (408) 866-4075

9 Macarthur PL
N703
Santa Ana, CA 92707-6738
Phone (818) 435-1433

Hospital & facility affiliations

  • Providence Saint Joseph Medical Ctr Hospital, Burbank, CA, CCN 050235
  • Ridgecrest Regional Hospital Hospital, Ridgecrest, CA, CCN 051333
  • Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058
  • Maui Memorial Medical Center Hospital, Wailuku, HI, CCN 120002
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014008223MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Jan 14, 2023 Accepting new patients
Palms Imaging Medical Group Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients
City of Hope Medical Foundation CurrentSince Jan 25, 2026 Accepting new patients
El Camino Health Medical Network, LLC CurrentSince Mar 1, 2025 Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince May 15, 2018 Accepting new patients
Silicon Valley Diagnostic Imaging, Inc. Diagnostic Radiology CurrentSince Feb 14, 2025 Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology Past Accepting new patients
Rad Alliance, Inc. Past Accepting new patients
El Camino Health Medical Group Past Accepting new patients
Quantum Medical Radiology of California, P.C. Diagnostic Radiology Past Accepting new patients

Locations (25 of 49)

820 E Mountain View St
Barstow, CA 92311
Phone (760) 256-1761

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

3828 Delmas Ter
Culver City, CA 90232
Phone (310) 202-4745

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

17100 Euclid St
Ste 4004
Fountain Vly, CA 92708
Phone (714) 966-7200

1145 W Redondo Beach Blvd
Gardena, CA 90247
Phone (310) 532-4200

47111 Monroe St
#1112
Indio, CA 92201

3700 South St
Lakewood, CA 90712
Phone (562) 424-2900

43839 15th St W
Lancaster, CA 93534
Phone (661) 945-5984

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

44105 15th St W
Ste 100
Lancaster, CA 93534
Phone (661) 726-6050

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

500 S Virgil Ave
Ste 102
Los Angeles, CA 90020
Phone (323) 375-3950

4081 E Olympic Blvd
Los Angeles, CA 90023
Phone (323) 267-0477

1245 Wilshire Blvd
Ste 205
Los Angeles, CA 90017
Phone (213) 202-7067

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

2400 E 4th St
National City, CA 91950
Phone (619) 470-4141

1601 Avocado Ave
Newport Beach, CA 92660
Phone (949) 763-2204

18436 Roscoe Blvd
Northridge, CA 91325
Phone (805) 577-2012

18300 Roscoe Blvd
Northridge, CA 91325
Phone (818) 885-5331

13100 Studebaker Rd
Norwalk, CA 90650
Phone (562) 420-1945

1901 Outlet Center Dr
Ste 120
Oxnard, CA 93036
Phone (805) 357-0067

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

Organizations & group practices 10

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 6

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": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1114155405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "address_2": "C B 8131",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-362-7200",
            "fax_number": "314-747-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S KINGSHIGHWAY BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101016",
            "telephone_number": "314-362-7200",
            "fax_number": "314-747-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATTAHI",
        "first_name": "RANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2014008223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.