Individual provider Active NPI

Aisan Raisdana Roshan, MD

  • Anesthesiology Physician
  • Beverly Hills, CA
National Provider Identifier
1710220777
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A148429 Issued in CA
Practice address
120 S Spalding Dr Ste 402
Beverly Hills, CA 90212-1842
Phone
(310) 275-3304
NPI assigned
Mar 28, 2013
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A148429 CA Primary

Addresses

Primary practice location

120 S Spalding Dr Ste 402
Beverly Hills, CA 90212-1842

Mailing address

120 S Spalding Dr Ste 402
Beverly Hills, CA 90212-1842
Phone (310) 275-3304

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
I20170728001089 CA Practitioner - Allergy/Immunology 7911217047 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A148429CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Buena Vista Anesthesia Medical Group Anesthesiology CurrentSince Jul 1, 2017 Accepting new patients
Equity Anesthesia Anesthesiology CurrentSince Mar 1, 2023 Accepting new patients
Anesthesia Associates Medical Group, Inc. CurrentSince Aug 1, 2018 Accepting new patients
La Quality Care Anesthesia Consultants Inc Anesthesiology CurrentSince Dec 31, 2023 Accepting new patients
Raisdana Roshan Anesthesiology Professional Corporation Anesthesiology CurrentSince May 1, 2023 Accepting new patients

Locations

120 S Spalding Dr
Ste 402
Beverly Hills, CA 90212
Phone (310) 260-1400

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

1500 E Chevy Chase Dr
Ste 101
Glendale, CA 91206
Phone (818) 688-0886

5700 San Fernando Rd
Glendale, CA 91202
Phone (818) 637-7766

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

11645 Wilshire Blvd
Ste 987
Los Angeles, CA 90025
Phone (310) 289-8600

351 S Patterson Ave
Santa Barbara, CA 93111
Phone (805) 681-6406

18133 Ventura Blvd
Ste 400
Tarzana, CA 91356
Phone (818) 462-0280

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1710220777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S SPALDING DR STE 402",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121842",
            "telephone_number": "310-275-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S SPALDING DR STE 402",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121842",
            "telephone_number": "310-275-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSHAN",
        "first_name": "AISAN",
        "middle_name": "RAISDANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A148429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.