Individual provider Active NPI

Ben Zandpour, MD

  • Internal Medicine Physician
  • Rancho Palos Verdes, CA
National Provider Identifier
1386655843
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A73201 Issued in CA
Practice address
32357 Phantom Dr
Rancho Palos Verdes, CA 90275-6112
Phone
(949) 400-8867
Fax
(310) 374-9196
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A73201 CA Primary

Addresses

Primary practice location

32357 Phantom Dr
Rancho Palos Verdes, CA 90275-6112

Mailing address

32357 Phantom Dr
Rancho Palos Verdes, CA 90275-6112
Phone (949) 400-8867

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
I20051012001214 CA Practitioner - Internal Medicine 5698790202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

32357 Phantom Dr
Rancho Palos Verdes, CA 90275-6112
Phone (562) 236-5483

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A73201CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ben Zandpour MD Inc Internal Medicine CurrentSince Jul 1, 2008 Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Shoreline Healthcare CenterLong Beach, CA, CCN 055353 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF
Sep 1, 2015
Sep 1, 2015
Jul 8, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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 5

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1386655843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32357 PHANTOM DR",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902756112",
            "telephone_number": "949-400-8867",
            "fax_number": "310-374-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32357 PHANTOM DR",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902756112",
            "telephone_number": "949-400-8867",
            "fax_number": "310-374-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANDPOUR",
        "first_name": "BEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A73201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Palos Verdes, CA

Sources for this page

Verify at the official NPI Registry.