Individual provider Active NPI

Tina Ashrafzadeh, D.O

  • Family Medicine Physician
  • Rolling Hills Estates, CA
National Provider Identifier
1730341835
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A9974 Issued in CA
Practice address
550 Silver Spur Rd Ste 240
Rolling Hills Estates, CA 90275-3612
Phone
(310) 792-8900
Fax
(310) 792-8907
NPI assigned
Jun 30, 2008
Last updated
Nov 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A9974 CA Primary

Addresses

Primary practice location

550 Silver Spur Rd Ste 240
Rolling Hills Estates, CA 90275-3612

Mailing address

550 Silver Spur Rd Ste 240
Rolling Hills Estates, CA 90275-3612
Phone (310) 792-8900

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
I20140408001396 CA Practitioner - Osteopathic Manipulative Medicine 0840432761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
College of Osteo Med of the Pacific at Pomona, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Coast OsteopathyGroup PAC ID 9931341856, 2 clinicians

Practice addresses (Care Compare)

550 Silver Spur Rd
Suite 240
Rolling Hills Estates, CA 90275-3612
Phone (310) 792-8900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A9974CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Osteopathy Family Medicine CurrentSince Jul 26, 2013 Accepting new patients

Locations

550 Silver Spur Rd
Ste 240
Rolling Hills Estates, CA 90275
Phone (310) 792-8900

21311 Hawthorne Blvd
Ste 103
Torrance, CA 90503
Phone (310) 792-8900

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1730341835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 SILVER SPUR RD STE 240",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902753612",
            "telephone_number": "310-792-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SILVER SPUR RD STE 240",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902753612",
            "telephone_number": "310-792-8900",
            "fax_number": "310-792-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHRAFZADEH",
        "first_name": "TINA",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A9974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Hills Estates, CA

Sources for this page

Verify at the official NPI Registry.