Individual provider Active NPI

Omid Jafari, MD

  • Diagnostic Radiology Physician
  • Santa Monica, CA
National Provider Identifier
1639409139
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A110476 Issued in CA
Practice address
2811 Wilshire Blvd
Santa Monica, CA 90403-4803
Phone
(310) 829-9788
Fax
(310) 453-1576
NPI assigned
Jan 5, 2010
Last updated
Oct 8, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A110476 CA Primary

Addresses

Primary practice location

2811 Wilshire Blvd
Santa Monica, CA 90403-4803

Mailing address

2811 Wilshire Blvd
Santa Monica, CA 90403-4803
Phone (310) 829-9788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20110207000214 CA Practitioner - Diagnostic Radiology 5890975957 Reassigns benefits to 13 organizations
I20160217000925 NV Practitioner - Diagnostic Radiology 5890975957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians
Universal Radiology Partners of California PCGroup PAC ID 7214372986, 67 clinicians

Practice addresses (Care Compare)

11800 Wilshire Blvd
Los Angeles, CA 90025-6602
Phone (310) 231-2121

11828 W Tudor CT
Porter Ranch, CA 91326-4985
Phone (561) 268-6509

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A110476CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Advanced Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Mar 14, 2022 Accepting new patients
Centrelake Medical Group, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Insight Health Corp Diagnostic Radiology CurrentSince Apr 6, 2020 Accepting new patients
I V Radiology Medical Group Diagnostic Radiology CurrentSince Oct 31, 2017 Accepting new patients
Shin Imaging LLC CurrentSince Jan 1, 2021 Accepting new patients
Centrelake Medical Group Inc Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
County of Los Angeles CurrentSince Jan 1, 2011 Accepting new patients
Shin MRI LLC CurrentSince Jan 1, 2021 Accepting new patients
North Oc Imaging JV, LLC CurrentSince Oct 1, 2024 Accepting new patients
Medical Imaging Center of Southern California-Beverly Hills, Inc Diagnostic Radiology CurrentSince May 27, 2018 Accepting new patients
Universal Radiology Partners of California PC Diagnostic Radiology CurrentSince Dec 25, 2023 Accepting new patients
Kauai Veterans Memorial Hospital Current Accepting new patients
Kauai Veterans Memorial Hospital CurrentSince Sep 1, 2025 Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Jul 10, 2023 Accepting new patients
Shin Imaging LLC CurrentSince Jan 1, 2021 Accepting new patients
Golding Radiology, LTD Diagnostic Radiology CurrentSince Feb 1, 2016 Accepting new patients
Silicon Valley Diagnostic Imaging, Inc. Diagnostic Radiology CurrentSince Dec 12, 2016 Accepting new patients
Centrelake Medical Group, Inc. Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Butler Imaging and Interventional Associates LLC Diagnostic Radiology CurrentSince Aug 11, 2014 Accepting new patients
Directed Interventional Surgery Ctr Inc a Professional Medical Corp CurrentSince Jul 1, 2014 Accepting new patients
Darin Rentz DO PC Diagnostic Radiology CurrentSince Jan 2, 2025 Accepting new patients
Centrelake Medical Group, Inc. Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Medical Imaging Center of Southern California Diagnostic Radiology CurrentSince Jul 1, 2014 Accepting new patients
I V Radiology Medical Group Diagnostic Radiology CurrentSince Oct 31, 2017 Accepting new patients
Centrelake Medical Group Inc Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
Centrelake Medical Group Inc CurrentSince Dec 31, 2022 Accepting new patients
County of Los Angeles CurrentSince Jan 1, 2011 Accepting new patients
Centrelake Medical Group Inc CurrentSince Jan 1, 2023 Accepting new patients
Centrelake Medical Group Inc Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
North Oc Imaging JV, LLC CurrentSince Oct 1, 2024 Accepting new patients
Centrelake Medical Group Inc Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Modesto Radiological Medical Group, Inc. Diagnostic Radiology CurrentSince Mar 1, 2018 Accepting new patients
Elko Diagnostic Imaging LLC Past Accepting new patients
University Radiology Network Inc Diagnostic Radiology Past Accepting new patients

Locations (25 of 46)

18310 US Highway 18
Apple Valley, CA 92307
Phone (760) 247-6444

600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287

145 S Doheny Dr
Beverly Hills, CA 90211
Phone (310) 550-5858

5832 Beach Blvd
Unit 104
Buena Park, CA 90621

15855 Pomona Rincon Rd
Ste 101
Chino Hills, CA 91709

1955 Sunny Crest Dr
Ste 110
Fullerton, CA 92835
Phone (310) 995-6689

13400 Jamboree Rd
Irvine, CA 92602
Phone (714) 263-9279

3700 South St
Lakewood, CA 90712
Phone (562) 424-2900

44105 15th St W
Ste 100
Lancaster, CA 93534
Phone (661) 726-6050

11800 Wilshire Blvd
Los Angeles, CA 90025
Phone (310) 231-2121

2560 W Olympic Blvd
Ste 100
Los Angeles, CA 90006
Phone (323) 703-1000

266 S Harvard Blvd
Ste 180
Los Angeles, CA 90004
Phone (213) 387-3002

266 S Harvard Blvd
Ste 220
Los Angeles, CA 90004
Phone (213) 387-3002

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000

2400 E 4th St
National City, CA 91950
Phone (619) 470-4141

10767 Riverside Dr
North Hollywood, CA 91602
Phone (818) 301-6700

350 S Oak Ave
Oakdale, CA 95361
Phone (209) 847-3011

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

13280 Evening Creek Dr S
Ste 110
San Diego, CA 92128
Phone (855) 835-3723

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 36

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.

View all 36

Hospital & facility affiliations 4

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": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444262400000",
    "number": "1639409139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 WILSHIRE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034803",
            "telephone_number": "310-829-9788",
            "fax_number": "310-453-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 WILSHIRE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034803",
            "telephone_number": "310-829-9788",
            "fax_number": "310-453-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFARI",
        "first_name": "OMID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-05",
        "last_updated": "2015-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A110476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.