Active NPI
Arbi Khodadadi, M.D.
- Infectious Disease Physician
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- A83304
- Practice address
- 959 E Walnut St
Suite 120
Pasadena, CA 91106-1451 - Phone
- (626) 304-0782
- Fax
- (626) 795-8603
- NPI assigned
- Sep 28, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A83304 | CA | |
| Infectious Disease Physician | 207RI0200X | A83304 | CA | Primary |
Addresses
Primary practice location
959 E Walnut St
Suite 120
Pasadena, CA 91106-1451
Mailing address
1030 Tiverton Ave
113
Los Angeles, CA 90024-3000
Phone (805) 886-4339
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040728001661 | CA | Practitioner - Infectious Disease | 3072583848 | Practice locations: Pasadena, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- University of California, Geffen School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
959 E Walnut St
Suite 120
Pasadena, CA 91106-1438
Phone (626) 304-0782
959 E Walnut St
Suite 120
Pasadena, CA 91106-1451
959 E Walnut St
Suite 120
Pasadena, CA 91106-5364
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A83304 | CA | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Community Care | Past | Accepting new patients | |
| Usc Arcadia Hospital | Past | Accepting new patients | |
| Pasadena Hospital Association, LTD. | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1467560599
-
- Psychiatric Hospital Unit
- Pasadena, CA
- NPI 1437121142
-
- Rehabilitation Hospital Unit
- Arcadia, CA
- NPI 1164410593
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Arcadia, CA
- NPI 1508851288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271635200000",
"number": "1730271099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 TIVERTON AVE",
"address_2": "113",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900243000",
"telephone_number": "805-886-4339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "959 E WALNUT ST",
"address_2": "SUITE 120",
"city": "PASADENA",
"state": "CA",
"postal_code": "911061451",
"telephone_number": "626-304-0782",
"fax_number": "626-795-8603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHODADADI",
"first_name": "ARBI",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2010-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A83304",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "A83304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.
- 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.