NPIMap

Individual provider Active NPI

Laleh Boroujerdi-Rad, M.D.

  • Nephrology Physician
  • Whittier, CA
National Provider Identifier
1245474378
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A114999 Issued in CA
Practice address
14350 Whittier Blvd Ste 101
Whittier, CA 90605-2164
Phone
(562) 907-7616
NPI assigned
Apr 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A114999 CA Primary

Addresses

Primary practice location

14350 Whittier Blvd Ste 101
Whittier, CA 90605-2164

Mailing address

14350 Whittier Blvd Ste 101
Whittier, CA 90605-2164
Phone (562) 907-7616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120604000237 CA Practitioner - NephrologyPractitioner - Internal Medicine 6406010438 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12462 Putnam St
Suite 506
Whittier, CA 90602-1049
Phone (562) 698-8141

Hospital & facility affiliations

  • DaVita Maybrook Dialysis Dialysis facility, Whittier, CA, CCN 052884
  • DaVita Lambert Dialysis Dialysis facility, Whittier, CA, CCN 052712
  • DaVita Whittier Dialysis Dialysis facility, Whittier, CA, CCN 552509
  • DaVita Bluff Rd Dialysis Dialysis facility, Montebello, CA, CCN 552773
  • Presbyterian Intercommunity Hospital Home Health Home health agency, La Mirada, CA, CCN 057187
  • Pih Health Hospital-Whittier Hospital, Whittier, CA, CCN 050169
  • Whittier Hospital Medical Center Hospital, Whittier, CA, CCN 050735
  • Pih Health Downey Hospital Hospital, Downey, CA, CCN 050393
  • Presbyterian Intercommunity Inpatient rehabilitation facility, Whittier, CA, CCN 05T169
  • Barlow Respiratory Hospital Long-term care hospital, Los Angeles, CA, CCN 052031

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A114999CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Whittier Internal Medicine and Nephrology Medical Group Inc Nephrology CurrentSince Jan 1, 2020 Accepting new patients
County of Los Angeles CurrentSince Jun 1, 2012 Accepting new patients
County of Los Angeles Auditor Controller CurrentSince Jun 1, 2012 Accepting new patients
County of Los Angeles Current Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients

Locations

1770 W La Habra Blvd
La Habra, CA 90631
Phone (562) 691-8810

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

14350 Whittier Blvd
Ste 101
Whittier, CA 90605
Phone (562) 907-7616

12462 Putnam St
Ste 506
Whittier, CA 90602
Phone (562) 698-8141

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1240185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1245474378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14350 WHITTIER BLVD STE 101",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906052164",
            "telephone_number": "562-907-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14350 WHITTIER BLVD STE 101",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906052164",
            "telephone_number": "562-907-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOROUJERDI-RAD",
        "first_name": "LALEH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A114999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.