Individual provider Active NPI

Nahal Sahelimoghavami

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1770012239
Registry record updated Jun 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
10345 Almayo Ave Apt 306
Los Angeles, CA 90064-2645
Phone
(310) 741-8658
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

10345 Almayo Ave Apt 306
Los Angeles, CA 90064-2645

Mailing address

10345 Almayo Ave Apt 306
Los Angeles, CA 90064-2645

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171130002028 CA Practitioner - Physician Assistant 4688931546 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339

2200 W 3Rd St
Suite 120
Los Angeles, CA 90057-1934
Phone (213) 202-7170

2205 W Beverly Blvd
Montebello, CA 90640-2301
Phone (323) 728-0321

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince Apr 15, 2021 Accepting new patients
Pih Health Physicians CurrentSince Apr 15, 2021 Accepting new patients
Cep America-California CurrentSince Nov 1, 2017 Accepting new patients

Locations

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

6557 Greenleaf Ave
Whittier, CA 90601
Phone (562) 789-5401

Interoperability endpoints

  • Direct secure messaging: nahal.sahelimoghavami.1@27469.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496880000000",
    "number": "1770012239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10345 ALMAYO AVE APT 306",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10345 ALMAYO AVE APT 306",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642645",
            "telephone_number": "310-741-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHELIMOGHAVAMI",
        "first_name": "NAHAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2017-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.