NPIMap

Individual provider Active NPI

Manouchehr Rashti, M.D.

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1679509871
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A40167 Issued in CA
Practice address
12340 Santa Monica Blvd Ste 302
Los Angeles, CA 90025-0348
Phone
(310) 268-7707
Fax
(310) 268-7708
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A40167 CA Primary

Addresses

Primary practice location

12340 Santa Monica Blvd Ste 302
Los Angeles, CA 90025-0348

Mailing address

PO Box 49998
Los Angeles, CA 90049-0998
Phone (310) 268-7707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120316000710 CA Practitioner - General Practice 2961405683 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11819 Wilshire Blvd
Suite 205
Los Angeles, CA 90025-6631

12340 Santa Monica Blvd
Suite 302
Los Angeles, CA 90025-0348
Phone (310) 268-7707

Hospital & facility affiliations

  • Centrum Home Health, Inc. Home health agency, Valley Village, CA, CCN 757398
  • Regional Health Services, Inc. Home health agency, Valley Village, CA, CCN 757479
  • Valley Village Home Health Inc Home health agency, Valley Village, CA, CCN 053199
  • Beverly Healing Home Care, Inc Home health agency, Encino, CA, CCN 559011
  • A&M Alliance Home Health Care, Inc. Home health agency, Woodland Hills, CA, CCN 559362
  • Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262
  • Santa Monica - UCLA Med Ctr & Orthopaedic Hospital Hospital, Santa Monica, CA, CCN 050112
  • Saint John'S Health Center Hospital, Santa Monica, CA, CCN 050290
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A40167CAMDSpecialist
40167CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Ocean Medical Clinic CurrentSince Apr 13, 1987 Accepting new patients

Locations

12340 Santa Monica Blvd
Ste 302
Los Angeles, CA 90025
Phone (310) 268-7707

11819 Wilshire Blvd
Ste 205
Los Angeles, CA 90025
Phone (310) 268-7707

Organizations & group practices 2

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 10

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1679509871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49998",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900490998",
            "telephone_number": "310-268-7707",
            "fax_number": "310-268-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12340 SANTA MONICA BLVD STE 302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900250348",
            "telephone_number": "310-268-7707",
            "fax_number": "310-268-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASHTI",
        "first_name": "MANOUCHEHR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A40167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.