NPIMap

Individual provider Active NPI

Rameen Moridzadeh, MD

  • Vascular Surgery Physician
  • West Hollywood, CA
National Provider Identifier
1427445675
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A146962 Issued in CA
Practice address
8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone
(310) 652-8132
Fax
(310) 659-3815
NPI assigned
Apr 24, 2015
Last updated
Aug 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA
Vascular Surgery Physician 2086S0129X A146962 CA Primary

Addresses

Primary practice location

8700 Beverly Blvd
West Hollywood, CA 90048-1804

Mailing address

4140 W 190TH St
Torrance, CA 90504-5513
Phone (310) 967-1780

Other practice location 1

200 Ucla Medical Plz
Los Angeles, CA 90095-8344
Phone (310) 825-4708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200327002039 CA Practitioner - Vascular Surgery 7012260599 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
New York University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Saint Johns Health CenterGroup PAC ID 4183681810, 4 clinicians
Vascular Surgery AssociatesGroup PAC ID 3072984129, 5 clinicians
Cedars-Sinai Medical CenterGroup PAC ID 0446169114, 788 clinicians

Practice addresses (Care Compare)

2121 Santa Monica Blvd
Santa Monica, CA 90404-2303
Phone (310) 829-4813

8631 W 3Rd St
Suite 615E
Los Angeles, CA 90048-5910
Phone (310) 652-8132

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-3277

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.23 of 100Reported as group
Quality
77.83
Promoting interoperability
98
Improvement activities
40
Cost
71.17

Merit-based Incentive Payment System (MIPS)

Final score
92.16 of 100Reported as group
Quality
71.79
Promoting interoperability
100
Improvement activities
40
Cost
68.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion13
Varicose vein removal239
Leg revascularization (restoring blood flow)141
Removal of tissue21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A146962CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Saint John's Health Center CurrentSince Apr 28, 2021 Accepting new patients
Vascular Surgery Associates Vascular Surgery CurrentSince May 11, 2020 Accepting new patients
Rameen S Moridzadeh MD PC Vascular Surgery Current Accepting new patients
Cal Med Physicians and Surgeons, Inc. Vascular Surgery CurrentSince Jul 1, 2020 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Aug 3, 2020 Accepting new patients
Vascular Surgery Associates Vascular Surgery CurrentSince Jan 1, 2023 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Aug 3, 2020 Accepting new patients

Locations

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400

8631 W 3rd St
Ste 615E
Los Angeles, CA 90048
Phone (310) 652-8132

1301 20th St
Ste 390
Santa Monica, CA 90404
Phone (310) 453-3568

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 4

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": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1427445675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W 190TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905045513",
            "telephone_number": "310-967-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481804",
            "telephone_number": "310-652-8132",
            "fax_number": "310-659-3815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Ucla Medical Plz",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900958344",
            "country_code": "US",
            "telephone_number": "310-825-4708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORIDZADEH",
        "first_name": "RAMEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-24",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A146962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.