Individual provider Active NPI

Ali R Sepahdari, MD

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1508081969
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A113928 Issued in CA
Practice address
10833 Le Conte Ave
Los Angeles, CA 90095-3075
Phone
(310) 301-6800
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036117841 IL
Diagnostic Radiology Physician 2085R0202X A113928 CA Primary

Addresses

Primary practice location

10833 Le Conte Ave
Los Angeles, CA 90095-3075

Mailing address

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045-5631
Phone (310) 301-6800

Other practice location 1

1740 W Taylor St
Chicago, IL 60612-7232
Phone (312) 413-4900

Other identifiers 4

IdentifierTypeStateIssuer
001088602OtherMAMEDICARE ACD
0A1139280MedicaidCA
2174341MedicaidMA
001088601OtherMAMEDICARE PROVIDER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IL, MO, IA, MI, WI6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20110303000408 CA Practitioner - Diagnostic Radiology 0345390142 Reassigns benefits to 5 organizations
I20250408001222 IL Practitioner - Diagnostic Radiology 0345390142 Reassigns benefits to 1 organization
I20260319001788 MO Practitioner - Diagnostic Radiology 0345390142 Reassigns benefits to 1 organization
I20260413000803 IA Practitioner - Diagnostic Radiology 0345390142 Reassigns benefits to 1 organization
I20260422001257 MI Practitioner - Diagnostic Radiology 0345390142 Reassigns benefits to 1 organization
I20260611001146 WI Practitioner - Diagnostic Radiology 0345390142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Northwestern University Feinberg Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology One Medical Group PCGroup PAC ID 5496247793, 41 clinicians
Radiology Associates of Atlanta PAGroup PAC ID 4486647435, 41 clinicians
Scripps HealthGroup PAC ID 9234033853, 1,450 clinicians
Munson Medical GroupGroup PAC ID 8820277015, 191 clinicians
Usc Care Medical Group IncGroup PAC ID 0446157747, 1,378 clinicians
Boone Physician Services LLCGroup PAC ID 6507090644, 243 clinicians
Upland Hills Health IncGroup PAC ID 3072415553, shared by 13 NPIs, 97 clinicians

Practice addresses (Care Compare)

Culver City, CA 90230
Phone (918) 392-1702

La Jolla, CA 92037
Phone (918) 392-1702

Coronado, CA 92118
Phone (469) 757-1107

1009 S Wood St
Chicago, IL 60612-3747
Phone (312) 355-4300

10666 N Torrey Pines Rd
La Jolla, CA 92037-1027
Phone (858) 554-9100

14700 Lake Shore Dr
Charlevoix, MI 49720-1931
Phone (231) 547-4024

1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273

1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273

1600 E Broadway
Columbia, MO 65201-5844
Phone (573) 815-8000

1600 E Broadway Box 50 Attn Stephanie Windsor
Columbia, MO 65201-5844

1705 E Broadway
Suite 280
Columbia, MO 65201-7185
Phone (573) 815-7119

1812 Verdugo Blvd
Glendale, CA 91208-1407
Phone (818) 790-7100

224 Park Ave
Frankfort, MI 49635-9658
Phone (231) 935-6181

300 W Hungtington Dr
Arcadia, CA 91007-3402
Phone (626) 898-8000

302 Hobart St
Cadillac, MI 49601-2379
Phone (231) 876-2644

400 Hobart St
Cadillac, MI 49601-2331
Phone (231) 876-7200

800 Compassion Way
Dodgeville, WI 53533-1956
Phone (609) 930-8000

825 N Ctr Ave
Gaylord, MI 49735-1592
Phone (989) 731-2100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036117841ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health CurrentSince Apr 1, 2017 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Ravi K. Singh, M.D., Inc. Diagnostic Radiology CurrentSince Oct 14, 2021 Accepting new patients
Scripps Health CurrentSince Apr 1, 2017 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Current Accepting new patients
Boone Physician Services, LLC CurrentSince Mar 1, 2026 Accepting new patients
The Board of Trustees of the University of Illinois Diagnostic Radiology CurrentSince Mar 16, 2025 Accepting new patients
Scripps Health Current Accepting new patients
Radiology One Medical Group PC Diagnostic Radiology CurrentSince Oct 13, 2025 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Mar 16, 2025 Accepting new patients
Scripps Health Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Scripps Health Past Accepting new patients
Scripps Health Past Accepting new patients
The Board of Trustees of the University of Illinois Past Accepting new patients
Scripps Clinic Medical Group Past Accepting new patients

Locations

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

10666 N Torrey Pines Rd
La Jolla, CA 92037
Phone (858) 554-2626

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

15405 Los Gatos Blvd
Ste 104
Los Gatos, CA 95032
Phone (408) 358-3828

10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626

1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1740 W Taylor St
#931
Chicago, IL 60612
Phone (312) 355-5258

Interoperability endpoints

  • Direct secure messaging: asepahdari31792@scrippshlth.medalliesdirect.net

Organizations & group practices 23

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.

View all 23

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1508081969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-301-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900953075",
            "telephone_number": "310-301-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1740 W Taylor St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606127232",
            "country_code": "US",
            "telephone_number": "312-413-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEPAHDARI",
        "first_name": "ALI",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036117841",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A113928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ACD",
            "identifier": "001088602",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0A1139280",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2174341",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "001088601",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.