Soheila Delrahim, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A104853 Issued in CA

Practice address

11510 Manchester Way
Porter Ranch, CA 91326-2459

Phone

(818) 606-1471

Fax

(747) 239-2160

NPI assigned

Oct 31, 2008

Last updated

Dec 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Family Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimum Wound Care IncGroup PAC ID 8729473616, 2 clinicians

Advanced Dermatology and Cosmetics Laser Care a Medical CorporationGroup PAC ID 5395659460, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optimum Wound Care Inc

  • Surgery Physician
  • Woodland Hills, CA
  • NPI 1578217451
  Medicare reassignment Care Compare group NPD Authorized official
• Opc PT Providers PC

  • Family Medicine Physician
  • Woodland Hills, CA
  • NPI 1285590927
  Medicare reassignment NPD Authorized official
• Advanced Dermatology & Cosmetics Laser Care a Medical Corporation

  • Specialist
  • Valencia, CA
  • NPI 1912026097
  Medicare reassignment Care Compare group
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Baldwin Park, CA
  • NPI 1770515280
  Medicare reassignment NPD
• Optimum Psychiatric and Behavioral Health Services PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Valencia, CA
  • NPI 1700738564
  Authorized official Same address or phone
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Lancaster, CA
  • NPI 1982863783
  NPD
• F&M Radiology Medical Center Inc

  • Radiology Clinic/Center
  • Encino, CA
  • NPI 1720625742
  NPD (past)
• Henry Mayo Newhall Memorial Hospital

  dba Henry Mayo Newhall Hospital

  • General Acute Care Hospital
  • Valencia, CA
  • NPI 1780668434
  NPD (past)
• Sol Marghzar, M.S., Ccca, Inc.

  • Audiologist
  • Culver City, CA
  • NPI 1073671954
  NPD (past)

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1508019746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11510 MANCHESTER WAY",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913262459",
            "telephone_number": "818-606-1471",
            "fax_number": "747-239-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11510 MANCHESTER WAY",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913262459",
            "telephone_number": "818-606-1471",
            "fax_number": "747-239-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELRAHIM",
        "first_name": "SOHEILA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2021-12-03",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A104853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "43112 15th St W",
            "city": "Lancaster",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935346219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Glenda Dardashti, MS, RDN
• Lizette De Ramos, O.D.
• Edward Matthew Degerman, MD
• Richard Delacruz, RN
• Neda Delgosha
• Madison Dennis, LMFT
• Anna Anushik Derderian
• Nicole Sophia Dersahakian
• Adam Gemmel Reid Dietz, MD.
• Carol Dieu, NURSE PRACTITIONER

• Specialist in Porter Ranch, CA
• Providers in Porter Ranch, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.