Ebrahim Sajedi, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A62264 Issued in CA

Practice address

120 S Montebello Blvd
Montebello, CA 90640-4730

Phone

(323) 726-0533

Fax

(323) 726-0274

NPI assigned

Jul 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

University of Rochester School of Medicine and Dentistry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Community Health Centers IncGroup PAC ID 9638082456, 47 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Comprehensive Community Health Centers Inc

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1356362743

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Comprehensive Community Health Centers Inc

  • Family Medicine Physician
  • North Hollywood, CA
  • NPI 1871573360

  Internal Medicine

  NPD
• Comprehensive Community Health Centers, Inc

  • Family Medicine Physician
  • Arleta, CA
  • NPI 1346951654
  NPD
• Comprehensive Community Health Centers Inc

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1245210749

  Internal Medicine

  NPD (past)
• Glendale Adventist Medical Center

  • Skilled Nursing Facility
  • Glendale, CA
  • NPI 1114916293
  NPD (past)
• The Regents of the University of California

  • General Acute Care Hospital
  • Santa Monica, CA
  • NPI 1982849105
  NPD (past)
• Yacoub Medical, Inc.

  • General Practice Physician
  • Montebello, CA
  • NPI 1477698512
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1154342269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1889",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906407889",
            "telephone_number": "323-720-9204",
            "fax_number": "323-720-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S MONTEBELLO BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404730",
            "telephone_number": "323-726-0533",
            "fax_number": "323-726-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAJEDI",
        "first_name": "EBRAHIM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A62264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A622640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Rustanto, MSN, RN
• S. Ghazarian DDS., Inc.
• Nicole Lee Saenz
• Richard Kiyoshi Sahara, D.D.S.
• Ronald Riyochi Sahara, D.D.S.
• Maria Esther Salado
• Salar Hakham, D.O., a Professional Corporation
• Ernest Steven Salazar, D.D.S.
• Shay S Salehrabi, DDS
• Sam Hae, Inc

• Internal Medicine Physician in Montebello, CA
• Providers in Montebello, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.

Verify at the official NPI Registry.