Organization Active NPI

Rabizadeh Medical Corporation

  • Interventional Pain Medicine Physician
  • Encino, CA
National Provider Identifier
1497483507
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
RABIZADEH MEDICAL CORPORATION
Practice address
16255 Ventura Blvd Ste 1212
Encino, CA 91436-2320
Phone
(310) 776-5229
NPI assigned
Aug 9, 2022
Last updated
Jan 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Authorized official

Name
Iman Rabizadeh, MDNPI 1285097709
Title
President, Ceo
Phone
(310) 776-5229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU
Pain Medicine (Anesthesiology) Physician 207LP2900X NU
Pain Medicine Physician 208VP0000X NU
Interventional Pain Medicine Physician 208VP0014X NU Primary

Addresses

Primary practice location

16255 Ventura Blvd Ste 1212
Encino, CA 91436-2320

Mailing address

1171 S Robertson Blvd # 375
Los Angeles, CA 90035-1403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221102000263 CA Part B Supplier - Clinic/Group Practice 5294102356 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

16255 Ventura Blvd
Ste 1212
Encino, CA 91436
Phone (310) 776-5229

640 S San Vicente Blvd
Los Angeles, CA 90048
Phone (323) 680-5616

640 S San Vicente Blvd
Ste 389
Los Angeles, CA 90048
Phone (310) 694-9494

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1497483507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 S ROBERTSON BLVD # 375",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900351403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16255 VENTURA BLVD STE 1212",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362320",
            "telephone_number": "310-776-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RABIZADEH MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-09",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "RABIZADEH",
        "authorized_official_first_name": "IMAN",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "310-776-5229",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.