Amir Hedayati-Rad M D Inc

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

A60239 Issued in CA

Legal business name

AMIR HEDAYATI-RAD M D INC

Practice address

706 W Broadway # 100
Glendale, CA 91204-1032

Phone

(818) 507-6404

Fax

(818) 507-6406

NPI assigned

Jun 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Amir H Hedayati-Rad, M.D.NPI 1861410029

Title

Owner

Phone

(818) 507-6404

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amir H Hedayati-Rad, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Glendale, CA
  • NPI 1861410029

  Cardiovascular Disease

  Medicare reassignment NPD Authorized official
• Dawn Parveen Atwal, MD

  • Cardiovascular Disease Physician
  • Laguna Beach, CA
  • NPI 1275579278
  NPD (past)

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1659578110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 GRANDVILLE AVENUE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494224",
            "telephone_number": "818-507-6404",
            "fax_number": "818-507-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 W BROADWAY # 100",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041032",
            "telephone_number": "818-507-6404",
            "fax_number": "818-507-6406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 S 7th Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Barstow",
            "state": "CA",
            "postal_code": "923113059",
            "country_code": "US",
            "telephone_number": "760-818-4228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "930 W Main St",
            "address_purpose": "LOCATION",
            "city": "Barstow",
            "state": "CA",
            "postal_code": "923112654",
            "country_code": "US",
            "telephone_number": "760-256-1004",
            "fax_number": "760-256-1055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1245 Wilshire Blvd Ste 511",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900174805",
            "country_code": "US",
            "telephone_number": "213-855-1640",
            "fax_number": "585-209-6318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMIR HEDAYATI-RAD M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "HEDAYATI-RAD",
        "authorized_official_first_name": "AMIR",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-507-6404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A60239",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "A60239",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A60239",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A602390",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GRP",
            "identifier": "DE8474",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Cardiac Electrophysiology Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Clinical Cardiac Electrophysiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.