Active NPI
Ardalan Minokadeh
- Dermatology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A145210
- Practice address
- 9201 W Sunset Blvd Ste 602
Los Angeles, CA 90069-3707 - Phone
- (310) 246-0495
- Fax
- (310) 246-0496
- NPI assigned
- Apr 20, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A145210 | CA | Primary |
Addresses
Primary practice location
9201 W Sunset Blvd Ste 602
Los Angeles, CA 90069-3707
Mailing address
2285 Corporate Cir
Ste 200
Henderson, NV 89074-7759
Phone (702) 360-2763
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
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Tulane University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9201 W Sunset Blvd
Suite 602
Los Angeles, CA 90069-3707
Phone (310) 246-0495
Hospital & facility affiliations
- Cedars-Sinai Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.17 of 100
- Quality
- 74.51
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 82.72
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 151 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 28 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A145210 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J Robert West, M.D., Inc | Dermatology | Current | Accepting new patients |
| J. Robert West, M.D., Inc | Dermatology | Past | Accepting new patients |
Locations
400 Newport Center Dr
Ste 702
Newport Beach, CA 92660
Phone (949) 644-0101
9201 W Sunset Blvd
Ste 602
West Hollywood, CA 90069
Phone (310) 246-0495
2285 Corporate Cir
Ste 200
Henderson, NV 89074
Phone (702) 360-2763
Organizations & group practices 2
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.
-
- Dermatology Physician
- Newport Beach, CA
- NPI 1932154788
-
- Dermatology Physician
- Phoenix, AZ
- NPI 1114567997
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555977600000",
"number": "1760749311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2285 CORPORATE CIR",
"address_2": "STE 200",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747759",
"telephone_number": "702-360-2763",
"fax_number": "949-783-2880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9201 W SUNSET BLVD STE 602",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900693707",
"telephone_number": "310-246-0495",
"fax_number": "310-246-0496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINOKADEH",
"first_name": "ARDALAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-20",
"last_updated": "2019-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A145210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 23, 2019; 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.