Individual provider Active NPI

Rajarshi Mazumder, M.D., M.P.H.

  • Neurology Physician
  • Los Angeles, CA
National Provider Identifier
1174936546
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A143469 Issued in CA
Practice address
300 UCLA Medical PLZ Ste B200
Los Angeles, CA 90095-8353
Phone
(310) 794-1195
NPI assigned
Jun 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X A143469 CA
Student in an Organized Health Care Education/Training Program 390200000X
Neurology Physician 2084N0400X A143469 CA Primary

Addresses

Primary practice location

300 UCLA Medical PLZ Ste B200
Los Angeles, CA 90095-8353

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

710 Westwood Plz
Los Angeles, CA 90095-8353
Phone (310) 825-0703

Other practice location 2

100 Ucla Medical Plaza Suite 425
Los Angeles, CA 90095-8353
Phone (310) 794-1195

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
I20200624003253 CA Practitioner - Neurology 1254656218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Oregon Health Sciences University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

100 Medical PLZ
Suite 425
Los Angeles, CA 90095-0001
Phone (310) 794-1500

150 Medical PLZ
Los Angeles, CA 90095-0001
Phone (310) 825-9989

200 UCLA Medical PLZ
Suite 120
Los Angeles, CA 90095-0001
Phone (310) 206-6931

300 Medical Plaza
B200
Los Angeles, CA 90095-0001
Phone (310) 794-1195

300 Medical PLZ
Los Angeles, CA 90095-0001

757 Westwood Blvd
Los Angeles, CA 90095-8358
Phone (310) 825-8021

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.73 of 100Reported as group
Quality
86.41
Promoting interoperability
100
Improvement activities
40
Cost
67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A143469CAMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Neurology CurrentSince Aug 1, 2020 Accepting new patients
The Regents of the University of California CurrentSince Aug 1, 2020 Accepting new patients
UCLA Medical Group Neurology Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

100 UCLA Medical Plz
Ste 425
Los Angeles, CA 90024
Phone (310) 794-1500

300 UCLA Medical Plz
Ste B200
Los Angeles, CA 90095
Phone (310) 405-9824

300 Medical Plz
Ste B200
Los Angeles, CA 90095
Phone (310) 794-6596

Interoperability endpoints

  • Direct secure messaging: rmazumder392096@direct.uclahealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1174936546",
    "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": "300 UCLA MEDICAL PLZ STE B200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900958353",
            "telephone_number": "310-794-1195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Westwood Plz",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900958353",
            "country_code": "US",
            "telephone_number": "310-825-0703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Ucla Medical Plaza Suite 425",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900958353",
            "country_code": "US",
            "telephone_number": "310-794-1195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZUMDER",
        "first_name": "RAJARSHI",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CA",
            "license": "A143469",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A143469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.