Individual provider Active NPI

Diba Daneshrad

  • Anesthesiology Physician
  • West Hollywood, CA
National Provider Identifier
1154575363
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A111946 Issued in CA
Practice address
8700 Beverly Blvd Ste 8211
Department of Anesthesiology
West Hollywood, CA 90048-1804
Phone
(310) 423-3277
NPI assigned
Nov 14, 2008
Last updated
Apr 22, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A111946 CA Primary

Addresses

Primary practice location

8700 Beverly Blvd Ste 8211
Department of Anesthesiology
West Hollywood, CA 90048-1804

Mailing address

8700 Beverly Blvd Ste 8211
Department of Anesthesiology
West Hollywood, CA 90048-1804
Phone (310) 423-3277

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
I20110616000231 CA Practitioner - Anesthesiology 7012053374 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A111946CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Equity Anesthesia Anesthesiology CurrentSince Nov 15, 2024 Accepting new patients
Turiya Anesthesia Anesthesiology CurrentSince Jun 8, 2024 Accepting new patients
Tarzana Anesthesia Medical Group, Inc. Anesthesiology CurrentSince Oct 14, 2020 Accepting new patients
HP Anesthesia Inc Anesthesiology CurrentSince Apr 16, 2023 Accepting new patients
Memorial Hospital for Cancer & Allied Diseases Past Accepting new patients
Memorial Hospital for Cancer and Allied Diseases Past Accepting new patients

Locations

555 E Hardy St
Inglewood, CA 90301
Phone (310) 419-8636

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

1300 N Vermont Ave
Ste 407
Los Angeles, CA 90027
Phone (323) 627-4874

13100 Studebaker Rd
Norwalk, CA 90650
Phone (562) 420-1945

18133 Ventura Blvd
Ste 400
Tarzana, CA 91356
Phone (818) 462-0280

18321 Clark St
Tarzana, CA 91356
Phone (310) 423-6744

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1154575363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD STE 8211",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481804",
            "telephone_number": "310-423-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD STE 8211",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481804",
            "telephone_number": "310-423-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANESHRAD",
        "first_name": "DIBA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-14",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A111946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.