Active NPI
Shahrad Rady Rahban, MD
- Plastic Surgery Physician
- Beverly Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- A76662
- Practice address
- 152 S Lasky Dr Ste 100
Beverly Hills, CA 90212-1720 - Phone
- (310) 550-9985
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | A76662 | CA | Primary |
Addresses
Primary practice location
152 S Lasky Dr Ste 100
Beverly Hills, CA 90212-1720
Mailing address
152 S Lasky Dr Ste 100
Beverly Hills, CA 90212-1720
Phone (310) 550-9985
Other practice location 1
120 S Spalding Dr
Suite 222
Beverly Hills, CA 90212-1800
Phone (310) 550-9855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shahrad Rady Rahban, MD Inc | Current | Accepting new patients | |
| Lasky Drive Surgery Center | Plastic Surgery | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
152 S Lasky Dr
Ste 100
Beverly Hills, CA 90212
Phone (310) 550-9855
9730 Wilshire Blvd
Ste 215
Beverly Hills, CA 90212
Phone (310) 392-1111
Organizations & group practices 3
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.
-
- Ambulatory Surgical Clinic/Center
- Beverly Hills, CA
- NPI 1649045493
Plastic Surgery
-
- Plastic and Reconstructive Surgery Physician
- Beverly Hills, CA
- NPI 1144540907
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1336173392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 S LASKY DR STE 100",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902121720",
"telephone_number": "310-550-9985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 S LASKY DR STE 100",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902121720",
"telephone_number": "310-550-9985"
}
],
"practiceLocations": [
{
"address_1": "120 S Spalding Dr",
"address_2": "Suite 222",
"address_purpose": "LOCATION",
"city": "Beverly Hills",
"state": "CA",
"postal_code": "902121800",
"country_code": "US",
"telephone_number": "310-550-9855",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAHBAN",
"first_name": "SHAHRAD",
"middle_name": "RADY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A76662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
- Benjamin Rafii, M.D.
- Brandon Rafison, DO
- Raha Akhavana Inc. a Professional Medical Corporation (Concierge IV Nutrition)
- William James Rahal, MD
- Mathew Rahban
- Raheleh Sarbaziha MD Inc
- Mahtab Rahnama, PHARM D
- Nancy P Rahnama, MD
- Jennifer Nicolla Rai, PT
- Rainbow Surgery Group a Professional Medical Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.