Individual provider Active NPI

Parrish Sadeghi, MD

  • Dermatology Physician
  • Santa Monica, CA
National Provider Identifier
1275567927
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A86498 Issued in CA
Practice address
2001 Santa Monica Blvd Ste 480W
Santa Monica, CA 90404-2121
Phone
(310) 954-9501
Fax
(310) 954-9502
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 44336 CO
Dermatology Physician 207N00000X A86498 CA Primary

Addresses

Primary practice location

2001 Santa Monica Blvd Ste 480W
Santa Monica, CA 90404-2121

Mailing address

1118 17TH St Apt 2
Santa Monica, CA 90403-5542
Phone (310) 560-2101

Other identifiers 1

IdentifierTypeStateIssuer
00A864980OtherCAMEDICAL PPIN #

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
I20050112000660 CA Practitioner - Dermatology 1355390741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Albany Medical College of Union University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parrish Sadeghi, MD IncGroup PAC ID 5092953216, 4 clinicians

Practice addresses (Care Compare)

2001 Santa Monica Blvd
Suite 480W
Santa Monica, CA 90404-2121
Phone (310) 883-5508

Merit-based Incentive Payment System (MIPS)

Final score
98.01 of 100Reported as group
Quality
96.03
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision34
Removal of skin lesions104
Removal of skin cancer106
Skin biopsy73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44336COMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parrish Sadeghi, MD Inc Dermatology CurrentSince Mar 23, 2012 Accepting new patients

Locations

11901 Santa Monica Blvd
#572
Los Angeles, CA 90025

2001 Santa Monica Blvd
Ste 480W
Santa Monica, CA 90404
Phone (310) 883-5508

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: psadeghi@puredermatology.emadirect.md

Organizations & group practices 1

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1275567927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 17TH ST APT 2",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035542",
            "telephone_number": "310-560-2101",
            "fax_number": "310-954-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD STE 480W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042121",
            "telephone_number": "310-954-9501",
            "fax_number": "310-954-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADEGHI",
        "first_name": "PARRISH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-08-29",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "44336",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A86498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PPIN #",
            "identifier": "00A864980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.