Individual provider Active NPI

Gagandeep Singh Rahi, M.D.

  • Internal Medicine Physician
  • Sherman Oaks, CA
National Provider Identifier
1184948119
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A111097 Issued in CA
Practice address
4955 Van Nuys Blvd Ste 502
Sherman Oaks, CA 91403-1817
Phone
(818) 325-0200
Fax
(818) 325-0210
NPI assigned
Mar 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 263444 NY
Hospitalist Physician 208M00000X A111097 CA
Internal Medicine Physician 207R00000X A111097 CA Primary

Addresses

Primary practice location

4955 Van Nuys Blvd Ste 502
Sherman Oaks, CA 91403-1817

Mailing address

1100 E Willow St
Signal Hill, CA 90755-3433
Phone (562) 981-7896

Other practice location 1

1100 E Willow St
Memorial Healthcare IPA - Hospitalist
Signal Hill, CA 90755-3433
Phone (562) 981-7896

Other practice location 2

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-5252

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
I20110520000537 CA Practitioner - Internal MedicinePractitioner - Hospitalist 5294911558 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Fernando Valley Medical Group IncGroup PAC ID 9931360047, 13 clinicians
Kansal IncGroup PAC ID 6406089739, 18 clinicians

Practice addresses (Care Compare)

4955 Van Nuys Blvd
Suite 502
Sherman Oaks, CA 91403-1801
Phone (818) 325-0200

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (800) 233-2771

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
263444NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Apr 1, 2021 Accepting new patients
Kansal Inc Internal Medicine CurrentSince Apr 1, 2021 Accepting new patients
San Fernando Valley Medical Group Inc Internal Medicine CurrentSince Jun 1, 2013 Accepting new patients
St. Joseph Hospitalist Medical Group, Inc. Internal Medicine CurrentSince Oct 17, 2014 Accepting new patients
Gold Country Emergency Physicians Medical Group Inc Hospitalist Past Accepting new patients

Locations

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

1426 Montana Ave
Ste 2
Santa Monica, CA 90403
Phone (310) 388-6798

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

4955 Van Nuys Blvd
Ste 502
Sherman Oaks, CA 91403
Phone (818) 325-0200

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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 3

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": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1184948119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E WILLOW ST",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907553433",
            "telephone_number": "562-981-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 VAN NUYS BLVD STE 502",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031817",
            "telephone_number": "818-325-0200",
            "fax_number": "818-325-0210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 E Willow St",
            "address_2": "Memorial Healthcare IPA - Hospitalist",
            "address_purpose": "LOCATION",
            "city": "Signal Hill",
            "state": "CA",
            "postal_code": "907553433",
            "country_code": "US",
            "telephone_number": "562-981-7896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8700 Beverly Blvd",
            "address_purpose": "LOCATION",
            "city": "West Hollywood",
            "state": "CA",
            "postal_code": "900481804",
            "country_code": "US",
            "telephone_number": "310-423-5252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHI",
        "first_name": "GAGANDEEP",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-19",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "263444",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A111097",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A111097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.