Active NPI
Sepehr Hamidi, M.D.
- Clinical Pathology/Laboratory Medicine Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- A133336
- Practice address
- 10833 Le Conte Ave # 255-C
Los Angeles, CA 90095 - Phone
- (310) 267-3561
- Fax
- (310) 267-2058
- NPI assigned
- Apr 27, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology (Pathology) Physician | 207ZD0900X | A133336 | CA | |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | A133336 | CA | Primary |
Addresses
Primary practice location
10833 Le Conte Ave # 255-C
Los Angeles, CA 90095
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
801 Broadway N
Fargo, ND 58102
Phone (701) 234-2000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Veteran Ave
Los Angeles, CA 90024-2704
10833 Le Conte Ave
Los Angeles, CA 90095-3075
Phone (310) 267-2625
5900 W Olympia Blvd
Los Angeles, CA 90036-4671
Phone (310) 267-2680
Hospital & facility affiliations
- Santa Monica - UCLA Med Ctr & Orthopaedic Hospital
- Ronald Reagan UCLA Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.23 of 100
- Quality
- 79.42
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A133336 | CA | MD | Dermatopathology (Pathology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UCLA Pathology and Laboratory Medicine Group | Current | Accepting new patients |
Locations
5900 W Olympic Blvd
Los Angeles, CA 90036
Phone (310) 267-2680
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
10833 Le Conte Ave
#255C
Los Angeles, CA 90095
Phone (310) 267-3561
File 55632
Los Angeles, CA 90074
Interoperability endpoints
- shamidi730957@direct.uclahealth.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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Los Angeles, CA
- NPI 1497732630
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1427055839
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571184000000",
"number": "1124386032",
"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": "10833 LE CONTE AVE # 255-C",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90095",
"telephone_number": "310-267-3561",
"fax_number": "310-267-2058"
}
],
"practiceLocations": [
{
"address_1": "801 Broadway N",
"address_purpose": "LOCATION",
"city": "Fargo",
"state": "ND",
"postal_code": "58102",
"country_code": "US",
"telephone_number": "701-234-2000",
"fax_number": "701-234-2345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMIDI",
"first_name": "SEPEHR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-27",
"last_updated": "2019-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "CA",
"license": "A133336",
"primary": false
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "CA",
"license": "A133336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.