Sara Aghamohammadi

Primary specialty

Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X

License

A112475 Issued in CA

Practice address

4650 W Sunset Blvd # Ms 3
Los Angeles, CA 90027-6062

Phone

(323) 361-5918

Fax

(323) 361-1001

NPI assigned

May 19, 2014

Last updated

May 19, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sara Aghamohamadi Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Regents of the Univ of Ca

  • Maternal & Fetal Medicine Physician
  • Sacramento, CA
  • NPI 1013906973
  Medicare reassignment NPD
• Shriners Hospitals for Children

  • Pediatric Orthopaedic Surgery Physician
  • Sacramento, CA
  • NPI 1679915565
  Medicare reassignment NPD
• Regents of the Univ of Ca

  • Infectious Disease Physician
  • Sacramento, CA
  • NPI 1437142452
  NPD
• Shriners Hospitals for Children

  dba Shriners Children's Hawaii

  • Clinic/Center
  • Aiea, HI
  • NPI 1568299857
  NPD
• Shriners Hospitals for Children

  • Pediatric Orthopaedic Surgery Physician
  • Shreveport, LA
  • NPI 1568803732
  NPD (past)

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1417368804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10535 WILSHIRE BLVD APT D09",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244514",
            "telephone_number": "310-903-8652",
            "fax_number": "323-361-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 W SUNSET BLVD # MS 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276062",
            "telephone_number": "323-361-5918",
            "fax_number": "323-361-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGHAMOHAMMADI",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "CA",
            "license": "A112475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "AGHAMOHAMADI",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Yvette Aghakahanians, D.C.
• Tara Aghaloo, DDS, MD, PHD
• Savana Aghamal, CCC-SLP
• Mariam Fazilat Aghamali, MSW
• Mazda Aghamohammadi, M.D.
• Elina Aghamyan, DDS
• Sara Aghassy, PHARM D, BCPS
• Nona Aghazadehsanai, D.D.S
• Ani Tania Aghazarian, PA-C
• Osayande Aghazebamwan

• Pediatric Critical Care Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pediatric Critical Care Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.

Verify at the official NPI Registry.