Individual provider Active NPI

Raheleh Sarbaziha, M.D.

  • Internal Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1194097477
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME121633 Issued in FL
Practice address
421 N Rodeo Dr Ste S1
Beverly Hills, CA 90210-4558
Phone
(310) 819-0769
NPI assigned
Feb 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME121633 FL Primary

Addresses

Primary practice location

421 N Rodeo Dr Ste S1
Beverly Hills, CA 90210-4558

Mailing address

421 N Rodeo Dr Ste S1
Beverly Hills, CA 90210-4558
Phone (310) 819-0769

Other identifiers 1

IdentifierTypeStateIssuer
113380OtherCASID #113380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150203000778 FL Practitioner - Internal Medicine 3375786205 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group Current Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Anaheim Urgent Care, Inc CurrentSince Nov 11, 2017 Accepting new patients
Raheleh Sarbaziha MD Inc Internal Medicine CurrentSince Sep 29, 2024 Accepting new patients
Anaheim Urgent Care, Inc. Current Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Mar 1, 2020 Accepting new patients
Anaheim Urgent Care, Inc CurrentSince Nov 11, 2017 Accepting new patients
Southern California Permanente Medical Group CurrentSince Mar 1, 2020 Accepting new patients
South Sound Inpatient Physicians, PLLC Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients

Locations

831 S State College Blvd
Anaheim, CA 92806
Phone (714) 533-2273

421 N Rodeo Dr
Ste S1
Beverly Hills, CA 90210
Phone (310) 742-6086

5717 Melrose Ave
Los Angeles, CA 90038
Phone (323) 957-2273

888 S Figueroa St
Ste 600
Los Angeles, CA 90017

6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000

2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141

2400 Unser Blvd SE
Rio Rancho, NM 87124
Phone (505) 253-0000

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1194097477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 N RODEO DR STE S1",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104558",
            "telephone_number": "310-819-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N RODEO DR STE S1",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104558",
            "telephone_number": "310-819-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARBAZIHA",
        "first_name": "RAHELEH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-02",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME121633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SID #113380",
            "identifier": "113380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.