Individual provider Active NPI

Navid Eghbalieh, M.D.

  • Vascular & Interventional Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1497056105
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
A136155 Issued in CA
Practice address
Division of Vascular & Interventional Radiology
757 Westwood Plaza, Suite 2125
Los Angeles, CA 90095-7430
Phone
(310) 267-8770
NPI assigned
Nov 11, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X A136155 CA Primary

Addresses

Primary practice location

Division of Vascular & Interventional Radiology
757 Westwood Plaza, Suite 2125
Los Angeles, CA 90095-7430

Mailing address

Division of Vascular & Interventional Radiology
757 Westwood Plaza, Suite 2125
Los Angeles, CA 90095-7430

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150727002248 CA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 0749594372 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
University of South Florida College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Diagnostic and Interventional SpecialistsGroup PAC ID 1951760966, 7 clinicians
Radia California Radiology Medical Group IncGroup PAC ID 8921465998, 134 clinicians

Practice addresses (Care Compare)

15031 Rinaldi St
Mission Hills, CA 91345-1207
Phone (818) 365-8051

1530 Camden Ave
PH 3
Los Angeles, CA 90025-8016
Phone (425) 563-1500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A136155CAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Multi-Specialty Center Inc CurrentSince Aug 6, 2019 Accepting new patients
Premier Diagnostic & Interventional Specialists Vascular & Interventional Radiology CurrentSince May 16, 2023 Accepting new patients
Radia California Radiology Medical Group Inc CurrentSince Sep 13, 2023 Accepting new patients
Southern California Multi-Specialty Center Inc Vascular & Interventional Radiology CurrentSince Aug 6, 2019 Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Norcal Healthconnect LLC Past Accepting new patients

Locations

11333 Sepulveda Blvd
Mission Hills, CA 91345
Phone (818) 365-9531

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400

19950 Rinaldi St
Ste 101D
Porter Ranch, CA 91326
Phone (818) 488-5188

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

26357 McBean Pkwy
Ste 155
Santa Clarita, CA 91355
Phone (661) 288-5940

121 Sotoyome St
Fl 2
Santa Rosa, CA 95405

925 Corporate Cntr Pkwy
Ste A
Santa Rosa, CA 95407
Phone (707) 543-2000

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

26357 McBean Pkwy
Valencia, CA 91355
Phone (661) 222-2600

5805 Sepulveda Blvd
Ste 690
Van Nuys, CA 91411
Phone (818) 900-6480

6580 Hembree Ln
Ste 270
Windsor, CA 95492
Phone (707) 838-2044

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 3

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": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1497056105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DIVISION OF VASCULAR & INTERVENTIONAL RADIOLOGY",
            "address_2": "757 WESTWOOD PLAZA, SUITE 2125",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900957430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DIVISION OF VASCULAR & INTERVENTIONAL RADIOLOGY",
            "address_2": "757 WESTWOOD PLAZA, SUITE 2125",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900957430",
            "telephone_number": "310-267-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGHBALIEH",
        "first_name": "NAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-11",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A136155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.