Reza Ray Ehsan, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

A50372 Issued in CA

Practice address

11600 Venice Blvd
Los Angeles, CA 90066-4014

Phone

(310) 390-9551

Fax

(310) 390-9296

NPI assigned

Oct 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

AnesthesiologyAlso: Interventional Pain Management

Education

Other, 1987

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sherman Oaks Hospital Hospital, Sherman Oaks, CA, CCN 050755
• L a Downtown Medical Center Hospital, Los Angeles, CA, CCN 050763
• Encino Hospital Medical Center Hospital, Encino, CA, CCN 050158

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 and National Provider Directory roles.

• Advanced Anesthesia Specialists a Medical Corporation

  • Anesthesiology Physician
  • Bakersfield, CA
  • NPI 1083130553
  NPD
• Advanced Anesthesia Specialists a Medical Corporation

  • Anesthesiology Physician
  • West Hills, CA
  • NPI 1871733600
  NPD
• Tip Top Anesthesia Group Inc

  • Licensed Practical Nurse
  • Beverly Hills, CA
  • NPI 1508283698
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• L. a. Downtown Medical Center, LLC.

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1780183335
  Care Compare affiliation
• L. a. Downtown Medical Center, LLC.

  • Rehabilitation Hospital Unit
  • Los Angeles, CA
  • NPI 1982351565
  Care Compare affiliation
• Prime Healthcare Services - Sherman Oaks, LLC

  • General Acute Care Hospital
  • Sherman Oaks, CA
  • NPI 1750491247
  Care Compare affiliation
• Prime Healthcare Services Encino LLC

  • General Acute Care Hospital
  • Encino, CA
  • NPI 1437322377
  Care Compare affiliation

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1467537480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900664014",
            "telephone_number": "310-390-9551",
            "fax_number": "310-390-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900664014",
            "telephone_number": "310-390-9551",
            "fax_number": "310-390-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHSAN",
        "first_name": "REZA",
        "middle_name": "RAY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A50372",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A50372",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A50372",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467537480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ehsan Moshfegh MD Inc
• Ehsan Saadat MD Inc
• Azin Isabelle Ehsan-Sayson, MSW, LCSW
• Amirhesam Ehsan, M.D
• Emily Ehsan, MD
• Danielle Michelle Ehsanipour
• Rita Eichenstein
• Brandi Lynn Eichstedt, PHD, LMFT
• Ashley Lauren Ellis Eid
• William S Eidelman, M.D.

• Pain Medicine (Anesthesiology) Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.