Individual provider Active NPI

Amy Ameneh Yaghmai, M.D.

  • Specialist
  • Santa Monica, CA
National Provider Identifier
1821104274
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2226384 Issued in NY
Practice address
2336 Santa Monica Blvd
Ste 206
Santa Monica, CA 90404-2095
Phone
(310) 828-7226
Fax
(310) 828-4426
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2226384 NY Primary

Addresses

Primary practice location

2336 Santa Monica Blvd
Ste 206
Santa Monica, CA 90404-2095

Mailing address

2336 Santa Monica Blvd
Ste 206
Santa Monica, CA 90404-2095
Phone (310) 828-7226

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
I20111020000505 CA Practitioner - Diagnostic Radiology 6002896610 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, Geffen School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Torrance Health Association IncGroup PAC ID 1355302134, 298 clinicians
Torrance Radiology Medical GroupGroup PAC ID 5496764755, 19 clinicians
Torrance Memorial Medical CenterGroup PAC ID 9638087703, 52 clinicians

Practice addresses (Care Compare)

2110 E El Segundo Blvd
Suite 100
El Segundo, CA 90245-4502
Phone (310) 517-7010

3330 Lomita Blvd
Torrance, CA 90505-5002
Phone (310) 517-4675

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2226384NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Torrance Memorial Medical Center CurrentSince Feb 28, 2013 Accepting new patients
Torrance Radiology Medical Group CurrentSince Apr 30, 2013 Accepting new patients
Torrance Health Association Inc CurrentSince Sep 1, 2022 Accepting new patients
Torrance Memorial Medical Center CurrentSince Feb 28, 2013 Accepting new patients
Trustees of the University of Pennsylvania Past Accepting new patients
Trustees of the University of Pennsylvania Past Accepting new patients
Trustees of the University of Pennsylvania Past Accepting new patients
University Physicians of Brooklyn, Inc. Past Accepting new patients
Univ of Penn Community Radiology Past Accepting new patients

Locations

2110 E El Segundo Blvd
Ste 180
El Segundo, CA 90245
Phone (310) 517-1126

2110 E El Segundo Blvd
Ste 100
El Segundo, CA 90245
Phone (310) 517-7010

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

Organizations & group practices 9

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.

Hospital & facility affiliations 4

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1821104274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 SANTA MONICA BLVD",
            "address_2": "STE 206",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042095",
            "telephone_number": "310-828-7226",
            "fax_number": "310-828-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 SANTA MONICA BLVD",
            "address_2": "STE 206",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042095",
            "telephone_number": "310-828-7226",
            "fax_number": "310-828-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGHMAI",
        "first_name": "AMY",
        "middle_name": "AMENEH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "2226384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.