Jamshid Maddahi MD, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A31808 Issued in CA

Legal business name

JAMSHID MADDAHI MD, INC.

Practice address

465 N Roxbury Dr Ste 101
Beverly Hills, CA 90210-4230

Phone

(310) 824-4991

Fax

(310) 824-7082

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

Angela Maddahi

Title

Office Manager

Phone

(310) 913-3425

Specialties & licenses 1

Addresses

Other names 1

• Los Angeles Cardiovascular Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Jamshid Maddahi, MD, Inc.

  • Specialist
  • Beverly Hills, CA
  • NPI 1265700272

  O20040716000819

  Same enrollment

Tax ID family

Jamshid Maddahi MD Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Jamshid Maddahi, MD, Inc.

  • Specialist
  • Beverly Hills, CA
  • NPI 1265700272
  NPD tax ID
• Jamshid Maddahi, MD, Inc.

  • Specialist
  • Los Angeles, CA
  • NPI 1720110349
  NPD tax ID

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamshid Maddahi, M.D.

  • Specialist
  • Los Angeles, CA
  • NPI 1154453769
  Medicare reassignment
• Arash Bereliani, M.D.

  • Cardiovascular Disease Physician
  • Los Angeles, CA
  • NPI 1699722165
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1790714426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 UCLA MEDICAL PLZ # 410",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900957064",
            "telephone_number": "310-824-4991",
            "fax_number": "310-824-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 N ROXBURY DR STE 101",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104230",
            "telephone_number": "310-824-4991",
            "fax_number": "310-824-7082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10921 Wilshire Blvd Ste 1205",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900244005",
            "country_code": "US",
            "telephone_number": "310-824-4991",
            "fax_number": "310-824-7082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAMSHID MADDAHI MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "MADDAHI",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-913-3425"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A31808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Angeles Cardiovascular Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.