NPIMap

Individual provider Active NPI

Kasra Sedarati, M.D.

  • Pulmonary Disease Physician
  • Northridge, CA
National Provider Identifier
1851634356
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A143553 Issued in CA
Practice address
17075 Devonshire St Ste 205
Northridge, CA 91325-5408
Phone
(844) 428-5864
NPI assigned
Apr 3, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A143553 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A143553 CA
Pulmonary Disease Physician 207RP1001X A143553 CA Primary

Addresses

Primary practice location

17075 Devonshire St Ste 205
Northridge, CA 91325-5408

Mailing address

325 N Maple Dr Unit 1863
Beverly Hills, CA 90213-4754
Phone (424) 249-9408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170317001497 CA Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7214230671 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Pulmonary Disease
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sani and Eshaghian MD IncGroup PAC ID 6002196508, 4 clinicians

Practice addresses (Care Compare)

17075 Devonshire St
Suite 205
Northridge, CA 91325-5408
Phone (844) 428-5864

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A143553CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sani and Eshaghian M.D., Inc. Pulmonary Disease CurrentSince Aug 5, 2019 Accepting new patients
Kasra Sedarati M.D. Inc. Internal Medicine Current Accepting new patients
Cedars-Sinai Medical Center CurrentSince Dec 10, 2019 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Dec 10, 2019 Accepting new patients
Pacifica of the Valley Corporation Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Usc Arcadia Hospital Past Accepting new patients

Locations

325 N Maple Dr
Unit 1863
Beverly Hills, CA 90213
Phone (424) 249-9408

16260 Ventura Blvd
Ste 600
Encino, CA 91436
Phone (818) 986-1977

17075 Devonshire St
Ste 205
Northridge, CA 91325
Phone (818) 366-2977

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

Hospital & facility affiliations 6

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": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1851634356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N MAPLE DR UNIT 1863",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902134754",
            "telephone_number": "424-249-9408",
            "fax_number": "248-278-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17075 DEVONSHIRE ST STE 205",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913255408",
            "telephone_number": "844-428-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDARATI",
        "first_name": "KASRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-03",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A143553",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A143553",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A143553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.