Individual provider Active NPI

Malihe Dardashti, M.D.

  • Family Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1316038169
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00A410920 Issued in CA
Practice address
8500 Wilshire Blvd Ste 625
Beverly Hills, CA 90211-3120
Phone
(310) 360-9785
NPI assigned
Sep 27, 2006
Last updated
May 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2013

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 00A410920 CA Primary

Addresses

Primary practice location

8500 Wilshire Blvd Ste 625
Beverly Hills, CA 90211-3120

Mailing address

8500 Wilshire Blvd Ste 625
Beverly Hills, CA 90211-3120
Phone (310) 360-9785

Other identifiers 1

IdentifierTypeStateIssuer
00A410920MedicaidCA

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
I20050622000732 CA Practitioner - Family PracticePractitioner - General PracticePractitioner - Dermatology 5395780175 Practice locations: Beverly Hills, CA; Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Dermatology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8500 Wilshire Blvd
Suite 625
Beverly Hills, CA 90211-3105
Phone (310) 360-9785

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00A410920CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wilshire Crescent Heights Medical Center a Professional Corporation Past Accepting new patients
Wilshire Crescent Heights Medical Center a Professional Corporation Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: malihedardashti@mdardashtiinc.officeally.direct

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368748800000",
    "number": "1316038169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 WILSHIRE BLVD STE 625",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113120",
            "telephone_number": "310-360-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 WILSHIRE BLVD STE 625",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113120",
            "telephone_number": "310-360-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARDASHTI",
        "first_name": "MALIHE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2013-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "00A410920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A410920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.