Individual provider Active NPI

Ali Gholamrezanezhad, M.D.

  • Diagnostic Radiology Physician
  • West Hollywood, CA
National Provider Identifier
1851653968
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A133625 Issued in CA
Practice address
8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone
(310) 423-6500
NPI assigned
Jun 14, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A133625 CA Primary

Addresses

Primary practice location

8700 Beverly Blvd
West Hollywood, CA 90048-1804

Mailing address

File 57326
Los Angeles, CA 90074-0001

Other practice location 1

1500 San Pablo St Fl 2
Los Angeles, CA 90033-5313
Phone (323) 442-8541

Other practice location 2

200 W Arbor Dr
San Diego, CA 92103-9000
Phone (800) 926-8273

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ali.gholamrezanezhad@direct.usc.edu Direct USC CARE MEDICAL GROUP, INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20170602002092 CA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 5799052205 Reassigns benefits to 12 organizations
I20250721003287 TX Practitioner - Diagnostic Radiology 5799052205 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prohealth Advanced Imaging Medical Group IncGroup PAC ID 1557379096, 13 clinicians
Elite Imperial ImagingGroup PAC ID 6204302094, 2 clinicians
Regents of the University of CaliforniaGroup PAC ID 3577476761, 2,047 clinicians
Memorialcare Medical FoundationGroup PAC ID 8729277314, 555 clinicians
Dhew Ind HLTH SV HLTH SVS and MNTL HLTH AdmGroup PAC ID 1759290901, 219 clinicians
DHHS,PHS,Naihs, Gallup Indian Medical CenterGroup PAC ID 3173436409, 179 clinicians
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians
DHHS PHS Naihs Chinle Comprehensive Health Care FacilityGroup PAC ID 9436062585, 160 clinicians

Practice addresses (Care Compare)

10767 Riverside Dr
North Hollywood, CA 91602-2324
Phone (818) 301-6700

1550 Pepper Dr
Suite G
El Centro, CA 92243-4166
Phone (442) 222-6778

200 W Arbor Dr
San Diego, CA 92103-9000
Phone (858) 657-7000

2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 933-1554

4212 N 16TH St
Phoenix, AZ 85016-5319
Phone (602) 263-1200

447 N El Camino Real
Encinitas, CA 92024-1302
Phone (858) 657-7000

516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone (505) 722-1000

6655 Alvarado Rd
San Diego, CA 92120-5208
Phone (800) 926-8273

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-1447

9300 Campus Point Dr
La Jolla, CA 92037-1300
Phone (800) 926-8273

9350 Campus Point Dr
La Jolla, CA 92037-1300
Phone (800) 926-8273

9400 Campus Point Dr
La Jolla, CA 92093-1350
Phone (800) 926-8273

9415 Campus Point Dr
La Jolla, CA 92093-1350
Phone (800) 926-8273

9434 Medical Ctr Dr
La Jolla, CA 92037-1337
Phone (800) 926-8273

9452 Medical Ctr Dr
La Jolla, CA 92037-1337
Phone (800) 926-8273

Highway 191 and Hospital Rd
Chinle, AZ 86503-8000
Phone 92867470307030

Hospital & facility affiliations

  • UC San Diego Health Hillcrest - Hillcrest Med Ctr Hospital, San Diego, CA, CCN 050025
  • Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485
  • El Centro Regional Medical Center Hospital, El Centro, CA, CCN 050045
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625
  • Gallup Indian Medical Center Hospital, Gallup, NM, CCN 320061

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Advanced Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
County of Los Angeles CurrentSince Feb 15, 2018 Accepting new patients
Usc Care Medical Group, Inc Diagnostic Radiology CurrentSince Jun 1, 2017 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Jun 1, 2025 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jul 15, 2025 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jul 15, 2025 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jun 1, 2017 Accepting new patients
DHHS, PHS, Naihs, Gallup Indian Medical Center CurrentSince May 4, 2025 Accepting new patients
Focus Medical Imaging Diagnostic Radiology CurrentSince Nov 1, 2024 Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Oct 6, 2020 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility CurrentSince Jun 12, 2025 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Jan 14, 2026 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Jan 14, 2026 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince May 4, 2025 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Jan 14, 2026 Accepting new patients
Irene Benn Medical Center CurrentSince Jan 14, 2026 Accepting new patients
West Valley Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
DHHS IHS Phoenix CurrentSince Jan 14, 2026 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Oct 6, 2020 Accepting new patients
Regents of the University of California Diagnostic Radiology CurrentSince Jan 23, 2024 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive CurrentSince Jun 12, 2025 Accepting new patients
Memorialcare Medical Foundation CurrentSince Mar 13, 2018 Accepting new patients
County of Los Angeles CurrentSince Feb 15, 2018 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Jun 1, 2025 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility Current Accepting new patients
Bristol Park Medical Group, Inc Past Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients
Focus Medical Imaging Diagnostic Radiology Past Accepting new patients
Keck Medical Center of Usc Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Regents of the University of California Past Accepting new patients
Community Medical Center, Inc. Past Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients

Locations (25 of 32)

12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137

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

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

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

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

9300 Campus Point Dr
La Jolla, CA 92037
Phone (619) 957-7000

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

1500 San Pablo St
Fl 2
Los Angeles, CA 90033
Phone (323) 442-8541

File 57326
Los Angeles, CA 90074

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

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

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

1520 San Pablo St
Ste 1600
Los Angeles, CA 90033
Phone (323) 442-7450

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

10767 Riverside Dr
North Hollywood, CA 91602
Phone (818) 301-6700

9041 Magnolia Ave
Ste 101
Riverside, CA 92503
Phone (951) 687-5755

4250 1st Ave
San Diego, CA 92103
Phone (415) 290-8175

6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

330 Lewis St
Ste 400
San Diego, CA 92103
Phone (619) 471-9250

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

18321 Clark St
Tarzana, CA 91356
Phone (310) 423-6744

18388 Clark St
Ste 115
Tarzana, CA 91356
Phone (818) 609-0911

Interoperability endpoints

  • Direct secure messaging: ali.gholamrezanezhadmd.p105@direct.nautilus.nextgenshare.com

Organizations & group practices 55

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 55

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": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1851653968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 57326",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900740001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481804",
            "telephone_number": "310-423-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 San Pablo St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900335313",
            "country_code": "US",
            "telephone_number": "323-442-8541",
            "fax_number": "323-442-8755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 W Arbor Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921039000",
            "country_code": "US",
            "telephone_number": "800-926-8273",
            "fax_number": "888-539-8781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHOLAMREZANEZHAD",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-14",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A133625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ali.gholamrezanezhad@direct.usc.edu",
            "affiliation": "Y",
            "affiliationName": "USC CARE MEDICAL GROUP, INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1500 San Pablo St Fl 2",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900335313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.