Individual provider Active NPI

Masoud Rahban, M.D.

  • Infectious Disease Physician
  • Los Angeles, CA
National Provider Identifier
1124198312
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A89779 Issued in CA
Practice address
5901 W Olympic Blvd Ste 307
Los Angeles, CA 90036-4664
Phone
(310) 553-3669
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X A89779 CA Primary

Addresses

Primary practice location

5901 W Olympic Blvd Ste 307
Los Angeles, CA 90036-4664

Mailing address

5901 W Olympic Blvd Ste 307
Los Angeles, CA 90036-4664
Phone (310) 553-3669

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
I20070813000723 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 2860583358 Practice locations: Culver City, CA

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3831 Hughes Ave
Suite 604
Culver City, CA 90232-6848
Phone (323) 939-3669

Hospital & facility affiliations

  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625
  • Los Angeles Community Hospital Hospital, Los Angeles, CA, CCN 050663
  • Southern California Hospital at Hollywood Hospital, Hollywood, CA, CCN 050135
  • L a Downtown Medical Center Hospital, Los Angeles, CA, CCN 050763

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A89779CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Healthcare System, Inc Past Accepting new patients
Minghsun Liu, M.D., PC Infectious Disease Past Accepting new patients

Organizations & group practices 2

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 7

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304553600000",
    "number": "1124198312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 W OLYMPIC BLVD STE 307",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364664",
            "telephone_number": "310-553-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 W OLYMPIC BLVD STE 307",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364664",
            "telephone_number": "310-553-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHBAN",
        "first_name": "MASOUD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2011-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A89779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.