NPIMap

Individual provider Active NPI

John Hassan Rastegar, MD

  • Family Medicine Physician
  • La, CA
National Provider Identifier
1609936483
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A53847 Issued in CA
Practice address
1300 North Vermont
Suite 310
La, CA 90027
Phone
(323) 228-4399
Fax
(323) 871-2957
NPI assigned
Dec 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A53847 CA Primary

Addresses

Primary practice location

1300 North Vermont
Suite 310
La, CA 90027

Mailing address

PO Box 27547
Los Angeles, CA 90027-2547
Phone (323) 228-4399

Other identifiers 1

IdentifierTypeStateIssuer
00A538471MedicaidCA

Other names 1

  • Hassan Rastegar-Fard Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081211000853 CA Practitioner - Family PracticePractitioner - General PracticePractitioner - Pediatric Medicine 2163583964 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice, Pediatric Medicine
Education
Other, 1974
Medicare assignment
May accept Medicare assignment
Group practices
Healthier Lifestyle Medical Group IncGroup PAC ID 1355742453, 6 clinicians

Practice addresses (Care Compare)

121 W Lexington Dr
Glendale, CA 91203-2203
Phone (818) 671-0012

1300 N Vermont Ave
Suite 901
Los Angeles, CA 90027-6094
Phone (323) 228-4399

350 Arden Ave
Suite 100
Glendale, CA 91203-1110
Phone (818) 906-4466

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A53847CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carvajal & Alquiroz Mobile Professionals Inc- a Professional N CurrentSince Nov 3, 2022 Accepting new patients
Mission City Community Network, Inc. CurrentSince Nov 8, 2016 Accepting new patients
HLMG Pain Management, Inc. CurrentSince Mar 22, 2026 Accepting new patients
Vermont Family Care Medical Clinic Inc Family Medicine CurrentSince Dec 18, 2008 Accepting new patients
Mission City Community Network, Inc. Current Accepting new patients
Mission City Community Network, Inc. CurrentSince Nov 8, 2016 Accepting new patients
Crystal Surgical Center CurrentSince Mar 22, 2026 Accepting new patients
Healthier Lifestyle Medical Group Inc CurrentSince May 1, 2025 Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients

Locations

121 W Lexington Dr
Ste 303B
Glendale, CA 91203
Phone (818) 671-0012

350 Arden Ave
Ste 100
Glendale, CA 91203
Phone (818) 433-8113

350 Arden Ave
Ste 102
Glendale, CA 91203
Phone (818) 846-5428

1300 N Vermont Ave
Ste 901
Los Angeles, CA 90027
Phone (323) 228-4399

8363 Reseda Blvd
Ste 11
Northridge, CA 91324
Phone (818) 882-0009

15206 Parthenia St
Sepulveda, CA 91343

Organizations & group practices 10

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 6

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609936483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27547",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900272547",
            "telephone_number": "323-228-4399",
            "fax_number": "323-871-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 NORTH VERMONT",
            "address_2": "SUITE 310",
            "city": "LA",
            "state": "CA",
            "postal_code": "90027",
            "telephone_number": "323-228-4399",
            "fax_number": "323-871-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASTEGAR",
        "first_name": "JOHN",
        "middle_name": "HASSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A53847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A538471",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HASSAN",
            "last_name": "RASTEGAR-FARD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in La, CA

Sources for this page

Verify at the official NPI Registry.