Individual provider Active NPI

Rodney Ebrahimian, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Los Angeles, CA
National Provider Identifier
1295880698
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A78264 Issued in CA
Practice address
2001 S Barrington Ave Ste 305
Los Angeles, CA 90025-5379
Phone
(310) 666-8009
Fax
(424) 325-6236
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A78264 CA Primary

Addresses

Primary practice location

2001 S Barrington Ave Ste 305
Los Angeles, CA 90025-5379

Mailing address

2001 S Barrington Ave Ste 305
Los Angeles, CA 90025-5379
Phone (310) 405-1610

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
I20250718001560 CA Practitioner - Physical Medicine and Rehabilitation 8628039567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crestpoint Medical Group, IncGroup PAC ID 2860923828, 2 clinicians

Practice addresses (Care Compare)

1611 Pomona Rd
Suite 235
Corona, CA 92878-4324
Phone (909) 757-8668

Hospital & facility affiliations

  • K & K Home Health Care, Inc Home health agency, Glendale, CA, CCN 053120
  • Osiris Home Health Care Home health agency, Reseda, CA, CCN 559203
  • Green Tree Home Health Home health agency, Garden Grove, CA, CCN 559584
  • Gravatis Home Health Care Inc Home health agency, Glendale, CA, CCN 559204
  • Tender Home Health Home health agency, Granada Hills, CA, CCN 059525

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Crestpoint Medical Group Inc CurrentSince Jun 3, 2025 Accepting new patients
Precision Occupational Medical Group, Inc. Physical Medicine & Rehabilitation Past Accepting new patients
Wholesome Psychiatry and Medical Services Inc PastSince Jun 3, 2025 Accepting new patients
Arroyo Grande Surgical Institute, LLC PastSince Jul 17, 2022 Accepting new patients
Thomas D. Ferro M.D. a Medical Corporation PastSince Jan 1, 2006 Accepting new patients
Spine Care & Orthopedic Physicians Past Accepting new patients
Osf Medical Group of California, Inc PastSince Sep 30, 2012 Accepting new patients

Locations

1611 Pomona Rd
Ste 235
Corona, CA 92878
Phone (909) 757-8668

1611 Pomona Rd
#235
Corona, CA 92878
Phone (909) 757-8668

Organizations & group practices 7

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1295880698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S BARRINGTON AVE STE 305",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255379",
            "telephone_number": "310-405-1610",
            "fax_number": "310-337-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S BARRINGTON AVE STE 305",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255379",
            "telephone_number": "310-666-8009",
            "fax_number": "424-325-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBRAHIMIAN",
        "first_name": "RODNEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A78264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.