Individual provider Active NPI

Sarvenaz Saadat Mobasser, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1295061786
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A104717 Issued in CA
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

Updated by the provider on Sep 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
I20121026000336 CA Practitioner - Family Practice 6800046913 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
104717CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Angeles Medical Clinic, Inc. Family Medicine CurrentSince Nov 28, 2011 Accepting new patients
Now Medical Family Medicine CurrentSince Apr 26, 2020 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.

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

Sources for this page

Verify at the official NPI Registry.