Individual provider Active NPI

Faranak Sadri Tafazoli, M.D.

  • Diagnostic Radiology Physician
  • Woodland Hills, CA
National Provider Identifier
1790717221
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
C170849 Issued in CA
Practice address
4857 Winnetka Ave
Woodland Hills, CA 91364-4740
Phone
(208) 416-2932
Fax
(855) 673-9190
NPI assigned
Jul 7, 2006
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036.148892 IL
Diagnostic Radiology Physician 2085R0202X C1-0025651 DE
Diagnostic Radiology Physician 2085R0202X 0101273374 VA
Diagnostic Radiology Physician 2085R0202X C170849 CA Primary

Addresses

Primary practice location

4857 Winnetka Ave
Woodland Hills, CA 91364-4740

Mailing address

22100 Bothell Everett Hwy
Bothell, WA 98021-8431
Phone (208) 416-2932

Other practice location 1

4755 Ogletown Stanton Road
Newark, DE 19718-2200
Phone (302) 733-1840

Other practice location 2

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NY, NH, WV, CA, NM, IL, AZ, TX, WA, MI, DE, GA13 enrollments
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 13

Enrollment IDStateProvider typePAC IDDetails
I20081010000035 OH Practitioner - Diagnostic Radiology 7214005750 Reassigns benefits to 1 organization
I20100104000390 NY Practitioner - Diagnostic Radiology 7214005750 Reassigns benefits to 2 organizations
I20160421000924 NH Practitioner - Diagnostic Radiology 7214005750 Reassigns benefits to 3 organizations
I20160518001516 WV Practitioner - Diagnostic Radiology 7214005750 Reassigns benefits to 2 organizations
I20210329001084 CA Practitioner - Diagnostic Radiology 7214005750 Reassigns benefits to 37 organizations
I20220929003038 NM Practitioner - Diagnostic Radiology 7214005750 Reassigns benefits to 1 organization
I20221103003161 IL Practitioner - Diagnostic Radiology 7214005750 Reassigns benefits to 6 organizations
I20221114000685 AZ Practitioner - Diagnostic Radiology 7214005750 Reassigns benefits to 1 organization
I20230131003150 TX Practitioner - Diagnostic Radiology 7214005750 Reassigns benefits to 4 organizations
I20231025001578 WA Practitioner - Diagnostic Radiology 7214005750 Reassigns benefits to 1 organization
I20240805000543 MI Practitioner - Diagnostic Radiology 7214005750 Reassigns benefits to 1 organization
I20240829001238 DE Practitioner - Diagnostic Radiology 7214005750 Reassigns benefits to 1 organization
I20260507001384 GA Practitioner - Diagnostic Radiology 7214005750 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beverly Radiology Associates IncGroup PAC ID 0345241154, 37 clinicians
Pro Radiology LLCGroup PAC ID 1052696432, 112 clinicians
Riverside Radiology and Interventional Associates IncGroup PAC ID 8729976964, 251 clinicians
Humboldt Park HealthGroup PAC ID 8921907072, 106 clinicians
South Jersey Radiology Associates P aGroup PAC ID 9133115587, 202 clinicians
La Paz Regional Hospital IncGroup PAC ID 1557273356, 50 clinicians
Acadiana Radiology GroupGroup PAC ID 1355403114, 50 clinicians
Columbus Radiology Physicians LLCGroup PAC ID 3971863416, 56 clinicians
Jason L Hwang MD IncGroup PAC ID 6103171012, 50 clinicians
Central Valley Community Medical ImagingGroup PAC ID 5799679874, 97 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians
Bayhealth Radiologists LLCGroup PAC ID 0446601876, 91 clinicians
Mercy Diagnostic Imaging PCGroup PAC ID 1153233283, 91 clinicians
Oroville HospitalGroup PAC ID 1254234339, 93 clinicians
Pco PCGroup PAC ID 5395179329, 82 clinicians
Roper Radiologists PAGroup PAC ID 6800700162, 40 clinicians
Radiology Medical Group of NapaGroup PAC ID 7113906397, 41 clinicians
Winchester Radiologists PCGroup PAC ID 7113915281, 77 clinicians
Lubbock County Hospital DistrictGroup PAC ID 4385538941, 97 clinicians
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians
Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians
Grays Harbor Community HospitalGroup PAC ID 3577462365, 91 clinicians

Practice addresses (Care Compare)

Long Beach, CA 90803
Phone (800) 841-4236

Woodland Hills, CA 91364
Phone (978) 922-3000

1044 N Francisco Ave
Chicago, IL 60622-2743
Phone (773) 292-8227

1200 W Mohave Rd
Parker, AZ 85344-6349
Phone (928) 669-7382

1215 E Michigan Ave
Unitversity of Michigan Health Spar
Lansing, MI 48912-1811
Phone (517) 364-5650

12411 W Fielding Cir
Apt 2518
Playa Vista, CA 90094-2570
Phone (337) 356-2295

1713 S Kofa Ave
Suite a
Parker, AZ 85344-6401
Phone (928) 669-7380

26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone (951) 486-4000

3762 Tibbetts St
Riverside, CA 92506-2605
Phone (951) 686-2224

42 Wolf Rd
Unit 1021
Lebanon, NH 03766-1940
Phone (812) 376-5362

4606 Rockland PL
La Canada, CA 91011-1428
Phone (559) 256-1975

4755 Ogletown Stanton Rd
Newark, DE 19718-2200

Woodland Hills, CA 91364-4740
Phone (610) 892-8889

501 W 14TH St
Wilmington, DE 19801-1013

501 W 14TH St FL
6 CCHS Infectious Disease
Wilmington, DE 19801-1013
Phone (302) 320-1300

501 W 14TH St Wilmington Hospital
Wilmington, DE 19801-1013

602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 775-8400

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-2000

875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500

915 Anderson Dr
Aberdeen, WA 98520-1006
Phone (360) 532-8330

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C170849CAMDDiagnostic Radiology Physician
C1-0025651DEMDDiagnostic Radiology Physician
036.148892ILMDDiagnostic Radiology Physician
0101273374VAMDDiagnostic Radiology Physician

Practice roles (60 of 149)

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians CurrentSince Jul 1, 2025 Accepting new patients
La Paz Regional Hospital Inc Current Accepting new patients
Lubbock County Hospital District Diagnostic Radiology CurrentSince Dec 7, 2022 Accepting new patients
Grays Harbor Community Hospital Family Medicine CurrentSince Sep 10, 2023 Accepting new patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince May 5, 2024 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Mar 1, 2023 Accepting new patients
Wayne Radiologists P a CurrentSince Jul 11, 2025 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Dec 15, 2025 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
North Platte Nebraska Hospital Corporation Diagnostic Radiology CurrentSince Sep 9, 2024 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jul 1, 2024 Accepting new patients
Grays Harbor Community Hospital Current Accepting new patients
Oroville Hospital CurrentSince Aug 17, 2021 Accepting new patients
Btdi JV LLP CurrentSince May 1, 2025 Accepting new patients
Btdi JV, LLP CurrentSince May 1, 2025 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Sep 29, 2024 Accepting new patients
Carilion Giles Community Hospital CurrentSince Sep 29, 2024 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
White Mountain Radiology Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Winchester Radiologists PC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Oroville Hospital Current Accepting new patients
Beaumont MRI Inc Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Edward W Sparrow Hospital Association Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Btdi JV LLP CurrentSince May 1, 2025 Accepting new patients
Radiology Medical Group of Napa Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
El Paso County Hospital District Family Medicine CurrentSince Nov 1, 2023 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Oct 15, 2022 Accepting new patients
Blue Stone JV LLP CurrentSince May 1, 2025 Accepting new patients
American Health Imaging of Dallas, LLC CurrentSince Apr 29, 2025 Accepting new patients
Memorial Hospital of Converse County CurrentSince Dec 1, 2024 Accepting new patients
DHHS IHS Phoenix Area Family Medicine CurrentSince Jan 17, 2024 Accepting new patients
American Health Imaging of Georgia, LLC CurrentSince Nov 25, 2025 Accepting new patients
Bayhealth Radiologists LLC Diagnostic Radiology CurrentSince Jan 22, 2024 Accepting new patients
American Health Imaging of South Carolina LLC CurrentSince Jan 30, 2026 Accepting new patients
Central Valley Community Medical Imaging Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
American Health Imaging of Dallas LLC CurrentSince May 1, 2025 Accepting new patients
Carolinas Physicians Network Inc Diagnostic Radiology Current Accepting new patients
American Health Imaging of South Carolina LLC CurrentSince Sep 12, 2023 Accepting new patients
Medford Radiological Group, PC Diagnostic Radiology CurrentSince Mar 1, 2021 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Carilion Tazewell Community Hospital CurrentSince Sep 29, 2024 Accepting new patients
Lubbock County Hospital District Diagnostic Radiology CurrentSince Dec 7, 2022 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Family Medicine CurrentSince May 1, 2023 Accepting new patients
Interfaith Professional Physician Services, P.C. Diagnostic Radiology CurrentSince Dec 20, 2023 Accepting new patients
American Health Imaging of Dallas LLC CurrentSince May 1, 2025 Accepting new patients
Carle West Physician Group Inc Family Medicine CurrentSince Jun 28, 2023 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Feb 10, 2026 Accepting new patients
Columbus Radiology Physicians LLC Diagnostic Radiology CurrentSince Oct 15, 2020 Accepting new patients
American Health Imaging of South Carolina, LLC CurrentSince May 1, 2025 Accepting new patients
Mercy Diagnostic Imaging PC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
South Jersey Radiology Associates P a Diagnostic Radiology CurrentSince Dec 14, 2025 Accepting new patients
Enloe Medical Center CurrentSince Jan 6, 2021 Accepting new patients
Grays Harbor Community Hospital CurrentSince Sep 10, 2023 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Dec 5, 2025 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Dec 16, 2025 Accepting new patients
Upmctdi JV LLC CurrentSince Apr 22, 2026 Accepting new patients
Focus Medical Imaging Diagnostic Radiology CurrentSince Feb 1, 2024 Accepting new patients
Btdi JV LLP CurrentSince May 1, 2025 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Mar 1, 2023 Accepting new patients
Beverly Radiology Associates, Inc. Diagnostic Radiology CurrentSince Apr 11, 2025 Accepting new patients

Locations (25 of 77)

1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300

1713 S Kofa Ave
Ste A
Parker, AZ 85344
Phone (928) 669-7380

4040 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (949) 480-9698

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

4951 S White Mountain Rd
Show Low, AZ 85901
Phone (928) 240-4128

1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

210 W San Bernardino Rd
Covina, CA 91723
Phone (626) 858-8580

15 E Audubon Dr
Fresno, CA 93720
Phone (559) 433-8000

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

7543 N Ingram Ave
Ste 106
Fresno, CA 93711

1246 W 155th St
Gardena, CA 90247
Phone (310) 323-5330

250 S Grand Ave
Glendora, CA 91741
Phone (626) 857-3118

11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

2000 Stadium Way
Los Angeles, CA 90026
Phone (213) 202-6886

267 S San Pedro St
Unit 261
Los Angeles, CA 90012
Phone (310) 600-3430

8391 Beverly Blvd
Unit 264
Los Angeles, CA 90048
Phone (213) 247-7251

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

323 S Heliotrope Ave
Monrovia, CA 91016
Phone (626) 408-9800

309 W Beverly Blvd
Montebello, CA 90640
Phone (323) 725-4209

413 N Poplar Ave
Montebello, CA 90640
Phone (323) 725-4365

26520 Cactus Ave
Moreno Valley, CA 92555
Phone (951) 486-5610

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d9dc001d-1bc5-42f9-bd4d-eb79208fd32a/

Organizations & group practices 161

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.

View all 161

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1790717221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22100 BOTHELL EVERETT HWY",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218431",
            "telephone_number": "208-416-2932",
            "fax_number": "855-673-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4857 WINNETKA AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913644740",
            "telephone_number": "208-416-2932",
            "fax_number": "855-673-9190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4755 OGLETOWN STANTON ROAD",
            "address_purpose": "LOCATION",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "country_code": "US",
            "telephone_number": "302-733-1840",
            "fax_number": "302-733-1633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8201 E Riverside Blvd",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611142300",
            "country_code": "US",
            "telephone_number": "815-971-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADRI TAFAZOLI",
        "first_name": "FARANAK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036.148892",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C1-0025651",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101273374",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C170849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.