Roshanak Eftekhari, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A76119 Issued in CA

Practice address

1300 N Vermont Ave
Suite# 807
Los Angeles, CA 90027-6005

Phone

(323) 660-5191

Fax

(323) 660-6513

NPI assigned

Mar 20, 2006

Last updated

Mar 17, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Brier Oak on Sunset, LLC

  dba Brier Oak on Sunset

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1396721932

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Krikor I Kalindjian,MD.Inc

  • Primary Care Clinic/Center
  • Los Angeles, CA
  • NPI 1396953733

  Internal Medicine

  Medicare reassignment NPD
• Applecare Hospitalist Medical Group, Inc.

  dba Optum

  • Internal Medicine Physician
  • Downey, CA
  • NPI 1629037577
  NPD (past)
• Brier Oak on Sunset, LLC

  dba Brier Oak on Sunset

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1396721932
  NPD (past)

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1619936556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE",
            "address_2": "SUITE# 807",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276005",
            "telephone_number": "323-660-5191",
            "fax_number": "323-660-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE",
            "address_2": "SUITE# 807",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276005",
            "telephone_number": "323-660-5191",
            "fax_number": "323-660-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFTEKHARI",
        "first_name": "ROSHANAK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A76119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WA76119A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1619936556",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Effortless Nursing Solutions, Inc
• Leah Effron
• Efma Almario Dentistry
• Torri Efron, LMFT
• Kevin Andrew Efros, M.D.
• Zahra Egal, NP-C
• Anna Bailey Egan, M.D.
• Jillian Egan, CMT
• Linslee Marie Egan, M.D.
• Sarah Christian Egan, CNM, MS

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.