NPIMap

Individual provider Active NPI

Solomon N Forouzesh, M.D.

  • Rheumatology Physician
  • Culver City, CA
National Provider Identifier
1457548133
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A30592 Issued in CA
Practice address
9808 Venice Blvd
Ste 604
Culver City, CA 90232-2732
Phone
(310) 204-5555
Fax
(310) 204-6580
NPI assigned
Sep 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X A30592 CA Primary
General Practice Physician 208D00000X A30592 CA

Addresses

Primary practice location

9808 Venice Blvd
Ste 604
Culver City, CA 90232-2732

Mailing address

9808 Venice Blvd
Ste 604
Culver City, CA 90232-2732
Phone (310) 204-5555

Other identifiers 1

IdentifierTypeStateIssuer
00A305920MedicaidCA

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
I20090601000424 CA Practitioner - RheumatologyPractitioner - General Practice 9335224831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: General Practice
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9808 Venice Blvd
Suite 604
Culver City, CA 90232-6820
Phone (310) 204-5555

Hospital & facility affiliations

  • United Care Home Healthcare Agency, Inc Home health agency, North Hills, CA, CCN 058375
  • Arnemetia Home Health, Inc Home health agency, San Fernando, CA, CCN 559538
  • Hepius Home Health Care Group Home health agency, San Fernando, CA, CCN 753102
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

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
A30592CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Solomon N Forouzesh M D Inc Rheumatology CurrentSince Apr 30, 2003 Accepting new patients
California Dermatology Institute PC Past Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
California Rheumatology Institute Inc Rheumatology PastSince Jan 5, 2025 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Brotman Medical Center, Inc. Past Accepting new patients

Locations

9808 Venice Blvd
Ste 604
Culver City, CA 90232
Phone (310) 204-5555

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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
American Empire Home Health Care Services, IncWest Covina, CA, CCN 058064 Home health agency Contracted Managing Employee May 1, 2004

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 6

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": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1457548133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 VENICE BLVD",
            "address_2": "STE 604",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322732",
            "telephone_number": "310-204-5555",
            "fax_number": "310-204-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9808 VENICE BLVD",
            "address_2": "STE 604",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322732",
            "telephone_number": "310-204-5555",
            "fax_number": "310-204-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOROUZESH",
        "first_name": "SOLOMON",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A30592",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A30592",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A305920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

Verify at the official NPI Registry.