Reza Kermani, MD

Primary specialty

Surgical Critical Care PhysicianTaxonomy code 2086S0102X

License

111955 Issued in CA

Practice address

38920 Trade Center Dr
Palmdale, CA 93551-3715

Phone

(661) 382-0221

Fax

(661) 940-1066

NPI assigned

Jul 8, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Reza Kermani-Nejad Other name

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

Specialty

General SurgeryAlso: Critical Care (Intensivists)

Education

University of California, San Diego School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Antelope Valley Hospital Hospital, Lancaster, CA, CCN 050056
• Palmdale Regional Medical Center Hospital, Palmdale, CA, CCN 050204

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Reza Kermani MD Incorporated

  • Trauma Surgery Physician
  • Palmdale, CA
  • NPI 1568848042
  Medicare reassignment Authorized official
• Lancaster Hospital Corporation

  • Rehabilitation Hospital Unit
  • Palmdale, CA
  • NPI 1033109947
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Antelope Valley Health Care District

  • General Acute Care Hospital
  • Lancaster, CA
  • NPI 1366419517
  Care Compare affiliation
• Lancaster Hospital Corporation

  • General Acute Care Hospital
  • Palmdale, CA
  • NPI 1508856535
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1295998300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 E GLENARM ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38920 TRADE CENTER DR",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513715",
            "telephone_number": "661-382-0221",
            "fax_number": "661-940-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERMANI",
        "first_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "CA",
            "license": "111955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REZA",
            "last_name": "KERMANI-NEJAD",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ninoosh Kaveh, PHARM D
• John J. Kayvanfar, M.D.
• Latorra Dontay Keith
• Gary L Kelly, PT
• Laganai Akila Kent
• David Michael Kern, D.D.S.
• Talene Keshishian, M.D.
• Deena Sherif Khamis, NURSE PRACTITIONER
• Shahid Omar Khan, M.D.
• Manouchehr Khandadash, M.D.

• Surgical Critical Care Physician in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Surgical Critical Care Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.

Verify at the official NPI Registry.