Individual provider Active NPI

Andrew D Rah, M.D.

  • Specialist
  • West Hills, CA
National Provider Identifier
1538202155
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G82333 Issued in CA
Practice address
7301 Medical Center Dr
Suite 400
West Hills, CA 91307-1904
Phone
(818) 264-3344
Fax
(818) 264-3433
NPI assigned
Feb 14, 2007
Last updated
Jun 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X G82333 CA
Specialist 174400000X G82333 CA Primary

Addresses

Primary practice location

7301 Medical Center Dr
Suite 400
West Hills, CA 91307-1904

Mailing address

7301 Medical Center Dr
Suite 400
West Hills, CA 91307-1904
Phone (818) 264-3344

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address arah389834@oc.providencedirect.org
Direct Messaging Address arah389834@oc.providencedirect.org
Direct Messaging Address arah389834@oc.providencedirect.org
Direct Messaging Address arah389834@oc.providencedirect.org

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
I20080721000245 CA Practitioner - Orthopedic Surgery 9133292451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
New York Medical College, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians

Practice addresses (Care Compare)

Laguna Niguel, CA 92677

1220 La Venta Dr
Suite 202
Westlake Village, CA 91361-3750
Phone (805) 449-0066

18133 Ventura Blvd
Suite 302
Tarzana, CA 91356-3645
Phone (818) 466-7770

18321 Clark St
Tarzana, CA 91356-3501
Phone (818) 881-0800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82333CAMDClinical Social Worker
G82333CAMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute CurrentSince May 13, 2019 Accepting new patients
Providence Medical Institute Current Accepting new patients
Providence Medical Institute CurrentSince May 13, 2019 Accepting new patients
Andrew D Rah, a California Medical Corp Legal Medicine PastSince Mar 30, 2011 Accepting new patients
Cambridge Medical Group PastSince Mar 3, 2018 Accepting new patients
NSR Medical Specialist Past Accepting new patients

Locations

21501 Avalon Blvd
Ste 100
Carson, CA 90745
Phone (310) 835-6627

11550 Indian Hills Rd
Ste 381
Mission Hills, CA 91345
Phone (818) 361-5069

11550 Indian Hls
Ste 300
Mission Hills, CA 91345
Phone (818) 365-5755

18133 Ventura Blvd
Ste 302
Tarzana, CA 91356
Phone (818) 264-3344

21311 Madrona Ave
Ste 101
Torrance, CA 90503
Phone (310) 792-4012

7301 Medical Ctr
Ste 400
West Hills, CA 91307
Phone (818) 264-3344

1220 La Venta Dr
Ste 202
Westlake Vlg, CA 91361
Phone (805) 449-0066

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: arah389834@oc.providencedirect.org

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

Hospital & facility affiliations 1

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1538202155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 MEDICAL CENTER DR",
            "address_2": "SUITE 400",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071904",
            "telephone_number": "818-264-3344",
            "fax_number": "818-264-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 MEDICAL CENTER DR",
            "address_2": "SUITE 400",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071904",
            "telephone_number": "818-264-3344",
            "fax_number": "818-264-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAH",
        "first_name": "ANDREW",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "G82333",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G82333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arah389834@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1220 La Venta Dr Ste 202",
            "city": "Westlake Village",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913613750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arah389834@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "7301 Medical Center Dr",
            "address_2": "Suite 400",
            "city": "West Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913071904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arah389834@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "18133 Ventura Blvd Ste 302",
            "city": "Tarzana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913563645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arah389834@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "11550 Indian Hills Rd Ste 300",
            "city": "Mission Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913451203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

Verify at the official NPI Registry.