Individual provider Active NPI

Parham Naghdechi, MD.

  • Family Medicine Physician
  • Sherman Oaks, CA
National Provider Identifier
1376701185
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A116101 Issued in CA
Practice address
4955 Van Nuys Blvd
Suite 502
Sherman Oaks, CA 91403-1801
Phone
(818) 325-0200
NPI assigned
May 29, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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 A116101 CA Primary

Addresses

Primary practice location

4955 Van Nuys Blvd
Suite 502
Sherman Oaks, CA 91403-1801

Mailing address

4955 Van Nuys Blvd
Suite 502
Sherman Oaks, CA 91403-1801
Phone (818) 325-0200

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
I20120424000042 CA Practitioner - Family Practice 5799947594 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakewood Hospitalist Medical Group IncGroup PAC ID 4981141496, 23 clinicians

Practice addresses (Care Compare)

3700 S St
Lakewood, CA 90712-1419
Phone (310) 698-5452

Hospital & facility affiliations

  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Uci Health-Lakewood Hospital, Lakewood, CA, CCN 050581

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
116101CAMDMarriage & Family Therapist
A116101CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Fernando Valley Medical Group Inc CurrentSince Jan 22, 2015 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine CurrentSince Nov 1, 2011 Accepting new patients
Lakewood Hospitalist Medical Group, Inc CurrentSince Jan 1, 2025 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Nov 1, 2011 Accepting new patients
Dignity Community Care Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Holy Cross Hospital Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Deanco Healthcare LLC. Past Accepting new patients

Locations

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

3700 South St
Lakewood, CA 90712
Phone (562) 424-2900

1025 W Olympic Blvd
Los Angeles, CA 90015
Phone (213) 623-2225

1120 W Washington Blvd
Los Angeles, CA 90015
Phone (213) 623-2225

11600 Indian Hills Rd
Mission Hills, CA 91345
Phone (818) 781-7097

11600 Indian Hills Rd
#100103
Mission Hills, CA 91345

309 W Beverly Blvd
Montebello, CA 90640
Phone (323) 725-4209

4955 Van Nuys Blvd
Ste 502
Sherman Oaks, CA 91403
Phone (818) 325-0200

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1376701185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 VAN NUYS BLVD",
            "address_2": "SUITE 502",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031801",
            "telephone_number": "818-325-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 VAN NUYS BLVD",
            "address_2": "SUITE 502",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031801",
            "telephone_number": "818-325-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGHDECHI",
        "first_name": "PARHAM",
        "name_prefix": "Dr.",
        "credential": "MD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A116101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.