Mike Mansour Rostami, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A50108 Issued in CA

Practice address

1119 N Western Ave Ste G
Los Angeles, CA 90029-1070

Phone

(323) 957-9300

Fax

(323) 957-9315

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

General Practice

Education

Other, 1981

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Calipso Home Health Care Inc Home health agency, Northridge, CA, CCN 058392
• Hollywood Presbyterian Medical Center Hospital, Los Angeles, CA, CCN 050063

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• St. John'S Urgent Care & Medical Corporation

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1710073390
  NPD Authorized official
• St. Johns Urgent Care & Medical Corporation

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1023524980
  NPD (past) Authorized official
• American Urgent Care Corporation

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1467398669
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Calipso Home Health Care, Inc.

  • Home Health Agency
  • Northridge, CA
  • NPI 1972672996
  Care Compare affiliation
• Cha Hollywood Medical Center, LP

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1922033547
  Care Compare affiliation

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1720135726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 N RODEO DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902103209",
            "telephone_number": "323-957-9300",
            "fax_number": "323-957-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 N WESTERN AVE STE G",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291070",
            "telephone_number": "323-957-9300",
            "fax_number": "323-957-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSTAMI",
        "first_name": "MIKE",
        "middle_name": "MANSOUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A50108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudio Rossol
• Rostam Khoubyari, M.D., Inc.
• Babak Bobby Rostami, M.D. INTERNAL MEDICI
• Benjamin Rostami, MD
• Haroun Rostami, DDS.,M.S.
• Nejat Rostami, M.D.
• Sabha Rostami
• Tara Rostami, MSW
• Taraneh Rostami, PSY.D.
• Sassan Rostamipour Shiroyeh, M.D.

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.