Nasser Redjal, M.D.

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

A41807 Issued in CA

Practice address

1523 Calle Patricia
Pacific Palisades, CA 90272-1939

Phone

(818) 257-9732

NPI assigned

May 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• County of Los Angeles

  • General Acute Care Hospital
  • Torrance, CA
  • NPI 1851363188
  Medicare reassignment NPD
• County of Los Angeles

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1295407401
  NPD

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1154370302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 CALLE PATRICIA",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902721939",
            "telephone_number": "818-257-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 CALLE PATRICIA",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902721939",
            "telephone_number": "818-257-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDJAL",
        "first_name": "NASSER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "A41807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Charles Purdy, MD
• Sadaf Radnia, PHARMD
• Rancho Physical Therapy, Inc.
• Damon Bradley Raskin, MD
• Reconnect Psychological Services
• Reino Labs, LLC
• Patricia Reiter Whatley
• Susan Foster Reynolds, MD
• Robert M Kahn MD Inc
• Robert M. Kahn MD Inc

• Allergy Physician in Pacific Palisades, CA
• Providers in Pacific Palisades, CA by specialty
• Allergy Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.