Individual provider Active NPI

Sarah Mahmood, MD

  • Pediatrics Physician
  • Playa Vista, CA
National Provider Identifier
1194257170
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A159312 Issued in CA
Practice address
12746 W Jefferson Blvd # 4000
Playa Vista, CA 90094-2885
Phone
(310) 423-4898
NPI assigned
Mar 29, 2017
Last updated
Jul 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Pediatrics Physician 208000000X A159312 CA Primary

Addresses

Primary practice location

12746 W Jefferson Blvd # 4000
Playa Vista, CA 90094-2885

Mailing address

12746 W Jefferson Blvd FL 5
Playa Vista, CA 90094-2885

Other practice location 1

2990 S Sepulveda Blvd Ste 202
Los Angeles, CA 90064-3973
Phone (424) 277-2020

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
I20240425002503 CA Practitioner - Pediatric Medicine 8820325434 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A159312CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Apr 22, 2024 Accepting new patients
University of California Irvine Past Accepting new patients
Toni D Johnson Chavis MD Inc PastSince Oct 1, 2023 Accepting new patients
Leila Bozorgnia MD Inc Pediatrics PastSince Apr 24, 2022 Accepting new patients

Locations

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

12746 W Jefferson Blvd
#4000
Playa Vista, CA 90094
Phone (310) 423-4898

12746 W Jefferson Blvd
Fl 5
Playa Vista, CA 90094

12746 W Jefferson Blvd
Ste 2000
Playa Vista, CA 90094
Phone (424) 315-2220

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

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, 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": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1194257170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12746 W JEFFERSON BLVD FL 5",
            "city": "PLAYA VISTA",
            "state": "CA",
            "postal_code": "900942885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12746 W JEFFERSON BLVD # 4000",
            "city": "PLAYA VISTA",
            "state": "CA",
            "postal_code": "900942885",
            "telephone_number": "310-423-4898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2990 S Sepulveda Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900643973",
            "country_code": "US",
            "telephone_number": "424-277-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHMOOD",
        "first_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A159312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Playa Vista, CA

Sources for this page

Verify at the official NPI Registry.