Individual provider Active NPI

Amir Mikhchi

  • Diagnostic Radiology Physician
  • Santa Monica, CA
National Provider Identifier
1801216031
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A147032 Issued in CA
Practice address
2428 Santa Monica Blvd
Santa Monica, CA 90404-2045
Phone
(310) 315-1000
NPI assigned
Apr 28, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X A147032 CA Primary

Addresses

Primary practice location

2428 Santa Monica Blvd
Santa Monica, CA 90404-2045

Mailing address

121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone (718) 250-6650

Other practice location 1

121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone (718) 250-6650

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
I20200110002407 CA Practitioner - Diagnostic Radiology 7416382973 Reassigns benefits to 17 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Childrens Hospital Los Angeles Medical Group IncGroup PAC ID 0143126920, 288 clinicians

Practice addresses (Care Compare)

4650 W Sunset Blvd
Los Angeles, CA 90027-6062
Phone (323) 361-8408

Hospital & facility affiliations

  • Children'S Hosp of Los Angeles Hospital, Los Angeles, CA, CCN 053302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A147032CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Radiology Medical Associates, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Radnet Medical Imaging-San Francisco Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Children'S Hospital Los Angeles Medical Group, Inc. CurrentSince Nov 2, 2019 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Diagnostic Radiological Imaging Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Fresno Imaging Center Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Modesto Advanced Diagnostic Imaging Medical Center Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Feb 1, 2021 Accepting new patients
Santa Rosa Imaging Medical Center Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Jun 1, 2020 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Feb 1, 2021 Accepting new patients
Stockton Diagnostic Imaging Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Jan 13, 2023 Accepting new patients
Childrens Hospital of Los Angeles Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Children'S Hospital Los Angeles Past Accepting new patients

Locations (25 of 51)

2501 E Southern Ave
Ste 811
Tempe, AZ 85282
Phone (480) 820-2021

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

9330 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 325-6800

3838 San Dimas St
Ste A120
Bakersfield, CA 93301
Phone (661) 328-9600

2301 Bahamas Dr
Bakersfield, CA 93309

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

8670 Wilshire Blvd
Ste 101
Beverly Hills, CA 90211
Phone (310) 358-2100

8750 Wilshire Blvd
Ste 200
Beverly Hills, CA 90211
Phone (310) 385-7747

2601 W Alameda Ave
Ste 101
Burbank, CA 91505
Phone (818) 843-7462

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025

16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234

6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433

6191 N Thesta St
Fresno, CA 93710
Phone (559) 435-7200

9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314

2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333

11360 Mountain View Ave
Ste C
Loma Linda, CA 92354
Phone (909) 478-3300

3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700

3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903

1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843

2080 Century Park E
Ste 1204
Los Angeles, CA 90067
Phone (310) 430-1310

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

3701 Wilshire Blvd
Ste 600
Los Angeles, CA 90010
Phone (323) 361-3550

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 1

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": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1801216031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 DEKALB AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015425",
            "telephone_number": "718-250-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 SANTA MONICA BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042045",
            "telephone_number": "310-315-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Dekalb Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112015425",
            "country_code": "US",
            "telephone_number": "718-250-6650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKHCHI",
        "first_name": "AMIR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A147032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.