Individual provider Active NPI

Reza Jamehdor, M.D.

  • Emergency Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1629211669
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A106792 Issued in CA
Practice address
1200 N State St RM 1011
Los Angeles, CA 90033-1029
Phone
(323) 226-6667
Fax
(323) 226-6454
NPI assigned
Apr 7, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A106792 CA Primary

Addresses

Primary practice location

1200 N State St RM 1011
Los Angeles, CA 90033-1029

Mailing address

1200 N State St RM 1011
Los Angeles, CA 90033-1029
Phone (323) 226-6667

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
I20110127000409 CA Practitioner - Emergency Medicine 2961681671 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of California, Irvine, California College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - CaliforniaGroup PAC ID 6103739131, shared by 2 NPIs, 1,278 clinicians
Synergy Observation Specialists PCGroup PAC ID 5496138307, 34 clinicians

Practice addresses (Care Compare)

250 S Grand Ave
Glendora, CA 91741-4218
Phone (626) 963-8411

2975 Sycamore Dr
Simi Valley, CA 93065-1201
Phone (805) 955-6000

400 W Mineral King Ave
Visalia, CA 93291-6237
Phone (559) 624-2000

Hospital & facility affiliations

  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057
  • Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

Merit-based Incentive Payment System (MIPS)

Final score
84.94 of 100Reported as group
Quality
73.38
Improvement activities
40
Cost
72.82

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America-California Emergency Medicine CurrentSince Mar 1, 2013 Accepting new patients
Capital Hospitalist Medical Group Inc Emergency Medicine CurrentSince Jun 1, 2020 Accepting new patients
Cep America- California Emergency Medicine CurrentSince May 1, 2025 Accepting new patients
Vep MLK Emergency Medical Group Inc Emergency Medicine CurrentSince Jun 1, 2020 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America - California Emergency Medicine CurrentSince Mar 1, 2013 Accepting new patients
Allied Emergency Physicians, Inc. CurrentSince Oct 17, 2023 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Usc Care Medical Group, Inc Past Accepting new patients
Anaheim Global Medical Center, Inc Past Accepting new patients
Los Angeles County, University of Southern California Hospital Past Accepting new patients

Locations

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

751 Medical Center Ct
#1182
Chula Vista, CA 91911

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

210 W San Bernardino Rd
Covina, CA 91723
Phone (626) 858-8580

250 S Grand Ave
Glendora, CA 91741
Phone (626) 857-3118

24451 Health Center Dr
Laguna Hills, CA 92653
Phone (949) 452-3573

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

2131 W 3rd St
Los Angeles, CA 90057
Phone (213) 484-5525

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

1115 S Sunset Ave
West Covina, CA 91790
Phone (626) 814-2434

Organizations & group practices 12

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.

Hospital & facility affiliations 2

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": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1629211669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST RM 1011",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331029",
            "telephone_number": "323-226-6667",
            "fax_number": "323-226-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST RM 1011",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331029",
            "telephone_number": "323-226-6667",
            "fax_number": "323-226-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMEHDOR",
        "first_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-07",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A106792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.