Active NPI
Mitra Rajabi, NP
- Family Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1710674106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95024823
- Practice address
- 955 Carrillo Dr Ste 300
Los Angeles, CA 90048-5475 - Phone
- (424) 258-0124
- NPI assigned
- Apr 18, 2023
- Last updated
- Oct 16, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95024823 | CA | Primary |
Addresses
Primary practice location
955 Carrillo Dr Ste 300
Los Angeles, CA 90048-5475
Mailing address
955 Carrillo Dr Ste 300
Los Angeles, CA 90048-5475
Phone (424) 258-0124
Other names 1
- Mitra Enders
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95024823 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ghods Inc | Current | Accepting new patients |
Locations
1086 S Fairfax Ave
Los Angeles, CA 90019
Phone (424) 258-0124
955 Carrillo Dr
Ste 300
Los Angeles, CA 90048
Phone (424) 258-0124
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1710674106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 CARRILLO DR STE 300",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485475",
"telephone_number": "424-258-0124",
"fax_number": "310-602-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 CARRILLO DR STE 300",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485475",
"telephone_number": "424-258-0124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJABI",
"first_name": "MITRA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-18",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95024823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MITRA",
"last_name": "ENDERS",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.