Individual provider Active NPI

Nasiem Marriam Niroumand, M.D.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1124461892
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A152790 Issued in CA
Practice address
1500 San Pablo St FL 2
Los Angeles, CA 90033-5313
Phone
(323) 442-8541
NPI assigned
Apr 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 04-40270 KS
Diagnostic Radiology Physician 2085R0202X A152790 CA Primary

Addresses

Primary practice location

1500 San Pablo St FL 2
Los Angeles, CA 90033-5313

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 442-8541

Other names 1

  • Dr. Nasiem Maryam Niroumand Other name

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
I20180803000781 CA Practitioner - Diagnostic Radiology 6204133283 Reassigns benefits to 15 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Oklahoma College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Radiology and Interventional Associates IncGroup PAC ID 2163816448, 99 clinicians
Sol Radiology IncGroup PAC ID 1850796681, 66 clinicians
San Joaquin Community HospitalGroup PAC ID 1557390580, 72 clinicians
Rahul Nayyar MD IncGroup PAC ID 5698111318, 10 clinicians
Radiologica IncGroup PAC ID 8820337769, 46 clinicians

Practice addresses (Care Compare)

1205 E N St
Manteca, CA 95336-4932
Phone (209) 823-3111

1250 E Almond Ave
Madera, CA 93637-5606
Phone (559) 675-5555

1900 Sullivan Ave
Daly City, CA 94015-2200
Phone (650) 991-6726

2000 Mowry Ave
Fremont, CA 94538-1716
Phone (510) 797-1111

2170 Century Park E
Apt 212
Los Angeles, CA 90067-2205
Phone (213) 247-7251

2615 Chester Ave
Bakersfield, CA 93301-2014

3001 Sillect Ave
Bakersfield, CA 93308-6337
Phone (661) 316-6000

315 Calle Pescador
San Clemente, CA 92672-2206
Phone (949) 388-4014

333 Mercy Ave
Merced, CA 95340-8319
Phone (209) 385-1280

3439 Brookside Rd
Suite 107
Stockton, CA 95219-1754
Phone (209) 466-5027

3800 Janes Rd
Arcata, CA 95521-4742
Phone (707) 822-3621

525 W Acacia St
Stockton, CA 95203-2405
Phone (209) 944-5550

5321 Edgewood PL
Los Angeles, CA 90019-6759
Phone (760) 699-2900

768 Mountain Ranch Rd
San Andreas, CA 95249-9707
Phone (209) 754-3521

9602 Stockdale Hwy
Bakersfield, CA 93311-3618
Phone (661) 395-3000

975 S Fairmont Ave
Lodi, CA 95240-5118
Phone (209) 334-3411

Hospital & facility affiliations

  • Shasta Regional Medical Center Hospital, Redding, CA, CCN 050764
  • Desert Valley Hospital Hospital, Victorville, CA, CCN 050709
  • Dameron Hospital Hospital, Stockton, CA, CCN 050122
  • St Rose Hospital Hospital, Hayward, CA, CCN 050002
  • Doctors Hospital of Manteca Hospital, Manteca, CA, CCN 050118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A152790CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rahul Nayyar MD Inc Diagnostic Radiology CurrentSince Jul 25, 2024 Accepting new patients
Advanced Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Apr 1, 2026 Accepting new patients
Megha Nayyar Gupta MD Inc. Diagnostic Radiology CurrentSince Jul 12, 2024 Accepting new patients
City of Hope Medical Foundation CurrentSince Dec 1, 2024 Accepting new patients
Usc Care Medical Group, Inc Family Medicine CurrentSince Jul 15, 2020 Accepting new patients
Lambert Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
Sol Radiology, Inc. Diagnostic Radiology CurrentSince Jan 26, 2024 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jul 15, 2020 Accepting new patients
Krishna Das MD Inc. Diagnostic Radiology CurrentSince Jul 12, 2024 Accepting new patients
University of Kansas Hospital Authority Past Accepting new patients
Port City Operating Company, LLC Past Accepting new patients
Sol Radiology, Inc. Diagnostic Radiology Past Accepting new patients
Hendrick Anesthesia Network Past Accepting new patients

Locations (25 of 29)

3800 Janes Rd
Arcata, CA 95521
Phone (707) 822-3621

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

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

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

11500 Brookshire Ave
Downey, CA 90241
Phone (562) 904-5000

1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1500 San Pablo St
Fl 2
Los Angeles, CA 90033
Phone (323) 442-8541

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

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

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

450 Glass Ln
Ste C
Modesto, CA 95356

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

1035 Placer St
Redding, CA 96001

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

6939 Palm Ct
Riverside, CA 92506
Phone (760) 416-4832

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

3439 Brookside Rd
Ste 107
Stockton, CA 95219
Phone (209) 466-5027

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

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

13010 Hesperia Rd
Ste 600
Victorville, CA 92395
Phone (760) 350-2498

12567 Hesperia Rd
Victorville, CA 92395
Phone (760) 241-7754

12490 Business Center Dr
Victorville, CA 92395
Phone (760) 230-5900

Interoperability endpoints

  • Direct secure messaging: nniroumand235974@cityofhope.direct-ci.com

Organizations & group practices 21

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.

View all 21

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": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1124461892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "323-442-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SAN PABLO ST FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335313",
            "telephone_number": "323-442-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIROUMAND",
        "first_name": "NASIEM",
        "middle_name": "MARRIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-12",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "04-40270",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A152790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NASIEM",
            "last_name": "NIROUMAND",
            "middle_name": "MARYAM",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.