Individual provider Active NPI

Parivash Mohamadi, M.D.

  • Internal Medicine Physician
  • Torrance, CA
National Provider Identifier
1295791853
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A43089 Issued in CA
Practice address
4305 Torrance Blvd Ste 500
Torrance, CA 90503-4405
Phone
(310) 370-5694
Fax
(310) 214-6671
NPI assigned
Apr 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A43089 CA
Internal Medicine Physician 207R00000X A43089 CA Primary

Addresses

Primary practice location

4305 Torrance Blvd Ste 500
Torrance, CA 90503-4405

Mailing address

4305 Torrance Blvd Ste 500
Torrance, CA 90503-4405
Phone (310) 370-5694

Other identifiers 1

IdentifierTypeStateIssuer
00A430890MedicaidCA

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
I20060303000710 CA Practitioner - Internal MedicinePractitioner - Ophthalmology 3173539830 Practice locations: Torrance, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Ophthalmology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4305 Torrance BL Unit
Suite 500
Torrance, CA 90503-4405
Phone (310) 370-5694

Hospital & facility affiliations

  • Excellence Home Health Provider, Inc Home health agency, Los Alamitos, CA, CCN 059389
  • Sunny Smile Home Health, Inc Home health agency, Woodland Hills, CA, CCN 757382
  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A43089CAMDInternal Medicine Physician
43089CAMDMassage Therapist

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: parivash.mohamadi.p104@direct.healthcarepartners.nextgenshare.com

Hospital & facility affiliations 3

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": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1295791853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 TORRANCE BLVD STE 500",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034405",
            "telephone_number": "310-370-5694",
            "fax_number": "310-214-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 TORRANCE BLVD STE 500",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034405",
            "telephone_number": "310-370-5694",
            "fax_number": "310-214-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMADI",
        "first_name": "PARIVASH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-24",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A43089",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A43089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A430890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.