Individual provider Active NPI

Ameera Fouad Fareed Ismail, M.B., CH.B.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1124238761
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A121403 Issued in CA
Practice address
200 UCLA Medical PLZ Ste B265
Los Angeles, CA 90095-1701
Phone
(310) 301-6800
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X A121403 CA
Diagnostic Radiology Physician 2085R0202X R-7744 IA
Diagnostic Radiology Physician 2085R0202X 53912 MN
Diagnostic Radiology Physician 2085R0202X A121403 CA Primary

Addresses

Primary practice location

200 UCLA Medical PLZ Ste B265
Los Angeles, CA 90095-1701

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 933-1248

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
I20120628000258 CA Practitioner - Diagnostic Radiology 3173792900 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
UCLA Radiology Medical GroupGroup PAC ID 8921902065, 193 clinicians

Practice addresses (Care Compare)

100 Medical Plaza
Los Angeles, CA 90095-0001
Phone (310) 301-6800

1250 16TH St
Santa Monica, CA 90404-1249
Phone (424) 259-6000

1260 15TH St
Suite 111
Santa Monica, CA 90404-1136
Phone (310) 393-5153

135 E Compton Blvd
Compton, CA 90220-2410
Phone (424) 338-8790

1680 E 120TH St
Los Angeles, CA 90059-3026

200 Medical Plaza
Los Angeles, CA 90095-0001
Phone (310) 301-6800

2200 N Sepulveda Blvd
Manhattan Beach, CA 90266-2910
Phone (310) 802-0200

2215 W Rosecrans Ave
Compton, CA 90222-3856

26585 Agoura Rd
Suite 210
Calabasas, CA 91302-1958
Phone (818) 878-0028

300 Medical Plaza
Los Angeles, CA 90095-0001
Phone (310) 301-6800

300 UCLA Medical PLZ
Suite B130
Los Angeles, CA 90095-8346
Phone (310) 206-0456

30700 Russell Ranch Rd
Suite 110
Westlake Village, CA 91362-9500
Phone (818) 661-6570

4343 Lankershim Blvd
North Hollywood, CA 91602-2705

7300 Medical Ctr Dr
West Hills, CA 91307-1902
Phone (818) 676-4000

757 Westwood PLZ
Los Angeles, CA 90095-8358
Phone (310) 825-9111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.13 of 100Reported as group
Quality
62.91
Promoting interoperability
100
Improvement activities
40
Cost
68.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R-7744IAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Luther King Jr Community Medical Foundation Current Accepting new patients
UCLA Radiology Medical Group Neuroradiology CurrentSince Sep 1, 2023 Accepting new patients
Memorialcare Medical Foundation CurrentSince Jun 1, 2012 Accepting new patients
Regents of the University of California CurrentSince Sep 1, 2023 Accepting new patients
Regents of the University of California CurrentSince Sep 1, 2023 Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
UCLA Medical Group Diagnostic Radiology Past Accepting new patients

Locations (25 of 33)

2400 Bahamas Dr
Bakersfield, CA 93309
Phone (661) 328-2333

26585 Agoura Rd
Ste 210
Calabasas, CA 91302
Phone (818) 878-0028

2251 W Rosecrans Ave
Ste 21
Compton, CA 90222
Phone (424) 338-8790

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

15503 Ventura Blvd
Ste 170
Encino, CA 91436
Phone (818) 377-3820

1000 Flower St
Glendale, CA 91201
Phone (818) 659-5000

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

100 Medical Plz
Ste 170
Los Angeles, CA 90095
Phone (415) 353-2808

200 UCLA Medical Plz
Ste B265
Los Angeles, CA 90095
Phone (310) 267-9099

300 UCLA Medical Plz
Ste B130
Los Angeles, CA 90095
Phone (310) 206-0456

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

200 UCLA Medical Plz
Ste 660
Los Angeles, CA 90095
Phone (310) 206-6688

335 N La Brea Ave
Los Angeles, CA 90036
Phone (323) 634-3850

100 UCLA Medical Plz
Ste 100
Los Angeles, CA 90024
Phone (310) 206-8900

200 UCLA Medical Plz
Ste B165
Los Angeles, CA 90095
Phone (310) 206-8900

File 59755
Los Angeles, CA 90074

2200 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (310) 802-0200

4343 Lankershim Blvd
Ste 300
North Hollywood, CA 91602

514 N Prospect Ave
Redondo Beach, CA 90277
Phone (310) 379-6671

501 Deep Valley Dr
Ste 400
Rolling Hills Estates, CA 90274

501 Deep Valley Dr
Ste 300
Rolling Hills Estates, CA 90274

1919 Santa Monica Blvd
Ste 300
Santa Monica, CA 90404
Phone (424) 259-7160

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

1260 15th St
Ste 111
Santa Monica, CA 90404
Phone (310) 393-5153

Interoperability endpoints

  • Direct secure messaging: aismail1195654@direct.uclahealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1124238761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UCLA MEDICAL PLZ STE B265",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951701",
            "telephone_number": "310-301-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908061701",
            "country_code": "US",
            "telephone_number": "562-933-1248",
            "fax_number": "562-933-1245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISMAIL",
        "first_name": "AMEERA",
        "middle_name": "FOUAD FAREED",
        "credential": "M.B., CH.B.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "A121403",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "R-7744",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "53912",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A121403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.