Active NPI
Mohammad Bararsani, M.D.
- Point of Service
- Torrance, CA
National Provider Identifier
1669547618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- A35392
- Practice address
- 18051 Crenshaw Blvd
Suite C
Torrance, CA 90504-5127 - Phone
- (310) 715-2323
- Fax
- (310) 715-6020
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | A35392 | CA | Primary |
Addresses
Primary practice location
18051 Crenshaw Blvd
Suite C
Torrance, CA 90504-5127
Mailing address
1035 1St Street
Manhattan Beach, CA 90266
Phone (310) 920-9666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A353920 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A35392 | CA | MD | Point of Service |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Cristobal Medical Group | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Physician
- Los Angeles, CA
- NPI 1770533655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669547618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 1ST STREET",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "90266",
"telephone_number": "310-920-9666",
"fax_number": "310-379-6360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18051 CRENSHAW BLVD",
"address_2": "SUITE C",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905045127",
"telephone_number": "310-715-2323",
"fax_number": "310-715-6020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARARSANI",
"first_name": "MOHAMMAD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "CA",
"license": "A35392",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A353920",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.