NPIMap

Individual provider Active NPI

Ilya Rachman, M.D.

  • Internal Medicine Physician
  • Reseda, CA
National Provider Identifier
1255463204
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A77850 Issued in CA
Practice address
7601 Canby Ave Ste 7
Reseda, CA 91335-2974
Phone
(818) 757-1919
Fax
(818) 757-3134
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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 A77850 CA Primary

Addresses

Primary practice location

7601 Canby Ave Ste 7
Reseda, CA 91335-2974

Mailing address

7601 Canby Ave Ste 7
Reseda, CA 91335-2974
Phone (818) 757-1919

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
I20040722000828 CA Practitioner - Internal Medicine 0446230270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ilya M Rachman MD IncGroup PAC ID 8628056728, 3 clinicians

Practice addresses (Care Compare)

7601 Canby Ave
Suite 7
Reseda, CA 91335-2974
Phone (818) 757-1919

Hospital & facility affiliations

  • 24-7 Quality Infusion and Home Health Inc Home health agency, Westlake Village, CA, CCN 059211
  • Helping Hands Home Health Best Care, Inc Home health agency, Van Nuys, CA, CCN 559792
  • Professional Home Care Service Home health agency, Woodland Hills, CA, CCN 058444
  • Shapira & Stein Home Healthcare Agency Home health agency, Burbank, CA, CCN 059213
  • 360 Home Health Agency Home health agency, Canoga Park, CA, CCN 059742

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77850CAMDPharmacist
A77850CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ilya M Rachman MD Inc Internal Medicine CurrentSince Jun 23, 2004 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
West Coast Medical Diagnostic Services, Inc Past Accepting new patients
United Sonomed Radiology Inc. Past Accepting new patients
Sonomed Technologies Inc Past Accepting new patients

Locations

2080 Century Park E
Ste 810
Los Angeles, CA 90067
Phone (310) 556-1377

7601 Canby Ave
Ste 7
Reseda, CA 91335
Phone (818) 692-7595

948 N Fairfax Ave
#201
West Hollywood, CA 90046
Phone (323) 654-2020

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
24-7 Quality Infusion & Home Health IncWestlake Village, CA, CCN 059211 Home health agency Contracted Managing Employee (100%) Jul 6, 2017
Santa Home Health Care, Inc.Los Angeles, CA, CCN 059430 Home health agency Corporate Director Jul 7, 2009

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 5

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1255463204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 CANBY AVE STE 7",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913352974",
            "telephone_number": "818-757-1919",
            "fax_number": "818-757-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 CANBY AVE STE 7",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913352974",
            "telephone_number": "818-757-1919",
            "fax_number": "818-757-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACHMAN",
        "first_name": "ILYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A77850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

Verify at the official NPI Registry.