Active NPI
Rohith Mohan, MD
- Pediatrics Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A163807
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A163807 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Venice Family Clinic | Current | Accepting new patients | |
| Cedars-Sinai Medical Center | Current | Accepting new patients | |
| Venice Family Clinic | Current | Accepting new patients | |
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Northeast Valley Health Corporation | Current | Accepting new patients | |
| Venice Family Clinic | Current | Accepting new patients | |
| Northeast Valley Health Corporation | Current | Accepting new patients | |
| Northeast Valley Health Corporation | Current | Accepting new patients | |
| Venice Family Clinic | Current | Accepting new patients | |
| Venice Family Clinic | Current | Accepting new patients | |
| Cedars-Sinai Medical Center | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- Federally Qualified Health Center (FQHC)
- Van Nuys, CA
- NPI 1629079009
-
- Federally Qualified Health Center (FQHC)
- Venice, CA
- NPI 1669418513
-
- Anesthesiology Physician
- Los Angeles, CA
- NPI 1043826720
-
- Pharmacy
- Los Angeles, CA
- NPI 1376514810
-
- Federally Qualified Health Center (FQHC)
- Santa Clarita, CA
- NPI 1548960834
-
- Federally Qualified Health Center (FQHC)
- San Fernando, CA
- NPI 1740437961
-
- Federally Qualified Health Center (FQHC)
- Culver City, CA
- NPI 1003842360
-
- Federally Qualified Health Center (FQHC)
- Venice, CA
- NPI 1124054564
-
- Federally Qualified Health Center (FQHC)
- Hawthorne, CA
- NPI 1518739515
-
- Federally Qualified Health Center (FQHC)
- Santa Monica, CA
- NPI 1558397067
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.