Individual provider Active NPI

Reza Jarrahy, MD, FACS, FAAP

  • Plastic and Reconstructive Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1407956816
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
25MA11709700 Issued in NJ
Practice address
200 Medical PLZ
#465
Los Angeles, CA 90095-0001
Phone
(310) 825-0065
Fax
(310) 794-7933
NPI assigned
Sep 25, 2006
Last updated
Jun 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X ME165899 FL
Plastic and Reconstructive Surgery Physician 2086S0122X 25MA11709700 NJ Primary
Plastic and Reconstructive Surgery Physician 2086S0122X A66518 CA

Addresses

Primary practice location

200 Medical PLZ
#465
Los Angeles, CA 90095-0001

Mailing address

200 Schulz Dr Ste 200
Red Bank, NJ 07701-6745
Phone (732) 426-3420

Other practice location 1

331 Newman Springs Road
Building 2, Suite 200
Red Bank, NJ 07701
Phone (732) 426-3420

Other identifiers 2

IdentifierTypeStateIssuer
00A665180MedicaidCA
0954411MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061020000419 CA Practitioner - Plastic and Reconstructive Surgery 7719984400 Reassigns benefits to 1 organization
I20230201003431 NJ Practitioner - Plastic and Reconstructive Surgery 7719984400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
State University of New York at Stony Brook, School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Regents of the University of CaliforniaGroup PAC ID 2264422070, 17 clinicians
The Plastic Surgery CenterGroup PAC ID 8921060484, 88 clinicians

Practice addresses (Care Compare)

200 UCLA Medical PLZ
Los Angeles, CA 90095-8344

535 Sycamore Ave
Shrewsbury, NJ 07702-4224
Phone (732) 333-8720

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.08 of 100Reported as group
Quality
64.86
Promoting interoperability
100
Improvement activities
40
Cost
46.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A66518CAMDPlastic and Reconstructive Surgery Physician
ME165899FLMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Plastic Surgery CurrentSince Apr 15, 2006 Accepting new patients
UCLA Medical Group Past Accepting new patients
Providence Saint John's Health Center Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
The Woods O.R., Inc. PastSince May 18, 2025 Accepting new patients

Locations

200 UCLA Medical Plz
Ste 460
Los Angeles, CA 90095
Phone (310) 825-5510

200 UCLA Medical Plz
Ste 465
Los Angeles, CA 90095
Phone (310) 825-5510

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 54206
Los Angeles, CA 90074

Interoperability endpoints

  • Direct secure messaging: rjarrahy@directaddress.net
  • Direct secure messaging: rjarrahy37839@direct.uclahealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1407956816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SCHULZ DR STE 200",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077016745",
            "telephone_number": "732-426-3420",
            "fax_number": "848-800-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PLZ",
            "address_2": "#465",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-825-0065",
            "fax_number": "310-794-7933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "331 Newman Springs Road",
            "address_2": "Building 2, Suite 200",
            "address_purpose": "LOCATION",
            "city": "Red Bank",
            "state": "NJ",
            "postal_code": "07701",
            "country_code": "US",
            "telephone_number": "732-426-3420",
            "fax_number": "732-242-7681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARRAHY",
        "first_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "MD, FACS, FAAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME165899",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NJ",
            "license": "25MA11709700",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A66518",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A665180",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0954411",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.