Active NPI
Sarvenaz Saadat Mobasser, M.D.
- Family Medicine Physician
- Los Angeles, CA
National Provider Identifier
1295061786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A104717
- Practice address
- 204 E Pico Blvd
Los Angeles, CA 90015-2508 - Phone
- (213) 457-4000
- Fax
- (206) 984-9849
- NPI assigned
- Oct 19, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A104717 | CA | Primary |
Addresses
Primary practice location
204 E Pico Blvd
Los Angeles, CA 90015-2508
Mailing address
PO Box 299
Beverly Hills, CA 90213-0299
Phone (310) 963-2680
Other names 1
- Dr. Sarvenaz Sharon Saadat
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of California, Irvine, California College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
204 E Pico Blvd
Los Angeles, CA 90015-2508
Phone (213) 457-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104717 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angeles Medical Clinic, Inc. | Family Medicine | Current | Accepting new patients |
| Now Medical | Family Medicine | Current | Accepting new patients |
Locations
204 E Pico Blvd
Los Angeles, CA 90015
Phone (213) 457-4000
1333 S Hill St
Los Angeles, CA 90015
Phone (213) 457-4000
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1528344686
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1033739578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347321600000",
"number": "1295061786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 299",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902130299",
"telephone_number": "310-963-2680",
"fax_number": "206-984-9849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 E PICO BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900152508",
"telephone_number": "213-457-4000",
"fax_number": "206-984-9849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOBASSER",
"first_name": "SARVENAZ",
"middle_name": "SAADAT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-19",
"last_updated": "2012-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A104717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARVENAZ",
"last_name": "SAADAT",
"middle_name": "SHARON",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Los Angeles, CA
- Katerina Moawad, DDS
- Sarah Maria Moayedifar, MSW
- Roxana Moayer, MD
- James Najme Mobaser, DDS
- Anthony Amir Mobasser, D.M.D
- Sherry Sharareh Mobasseri, M.S.
- Mobile Covid T LLC
- Mobile Crisis Unit Professional Corporation
- Mobile Executive Healthcare Cosmetic and Rejuvenation Medical
- Mobile Express Ultrasound Imaging, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.