Individual provider Active NPI

Rohith Mohan, MD

  • Pediatrics Physician
  • Los Angeles, CA
National Provider Identifier
1346731080
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A163807 Issued in CA
Practice address
4700 Inglewood Blvd Ste 102
Los Angeles, CA 90230-5896
Phone
(310) 392-8636
NPI assigned
May 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X A163807 CA Primary

Addresses

Primary practice location

4700 Inglewood Blvd Ste 102
Los Angeles, CA 90230-5896

Mailing address

4700 Inglewood Blvd Ste 102
Los Angeles, CA 90230-5896
Phone (310) 392-8636

Other practice location 1

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-3277

Other practice location 2

18321 Clark St
Tarzana, CA 91356-3501
Phone (818) 881-0800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rohith.mohan.p1@direct.venicefamilyclinic.nextgenshare.com Health Information Exchange (HIE)

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
I20210618002139 CA Practitioner - Pediatric Medicine 4587064183 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A163807CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Venice Family Clinic Current Accepting new patients
Cedars-Sinai Medical Center CurrentSince Jun 7, 2021 Accepting new patients
Venice Family Clinic Current Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Jul 22, 2023 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Jul 22, 2023 Accepting new patients
Northeast Valley Health Corporation CurrentSince Nov 5, 2021 Accepting new patients
Venice Family Clinic CurrentSince Dec 20, 2023 Accepting new patients
Northeast Valley Health Corporation CurrentSince Nov 5, 2021 Accepting new patients
Northeast Valley Health Corporation Current Accepting new patients
Venice Family Clinic CurrentSince Dec 20, 2023 Accepting new patients
Venice Family Clinic Current Accepting new patients
Cedars-Sinai Medical Center CurrentSince Jun 7, 2021 Accepting new patients

Locations

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

4700 Inglewood Blvd
Ste 102
Los Angeles, CA 90230
Phone (310) 664-7901

7843 Lankershim Blvd
North Hollywood, CA 91605
Phone (818) 765-8656

1600 San Fernando Rd
San Fernando, CA 91340
Phone (818) 365-8086

1172 N Maclay Ave
San Fernando, CA 91340
Phone (818) 898-1388

2509 Pico Blvd
Santa Monica, CA 90405
Phone (310) 664-7901

18321 Clark St
Tarzana, CA 91356
Phone (310) 423-6744

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

604 Rose Ave
Venice, CA 90291
Phone (310) 392-8630

905 Venice Blvd
Venice, CA 90291
Phone (310) 392-8630

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: rmohan753607@direct.ochin.org

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1346731080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 INGLEWOOD BLVD STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "902305896",
            "telephone_number": "310-392-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 INGLEWOOD BLVD STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "902305896",
            "telephone_number": "310-392-8636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8700 Beverly Blvd",
            "address_purpose": "LOCATION",
            "city": "West Hollywood",
            "state": "CA",
            "postal_code": "900481804",
            "country_code": "US",
            "telephone_number": "310-423-3277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18321 Clark St",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "913563501",
            "country_code": "US",
            "telephone_number": "818-881-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "ROHITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-29",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A163807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rohith.mohan.p1@direct.venicefamilyclinic.nextgenshare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4700 Inglewood Blvd Ste 102",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902305896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.