Active NPI
Ali Gholamrezanezhad, M.D.
- Diagnostic Radiology Physician
- West Hollywood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A133625
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170602002092 | CA | Practitioner - Interventional 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 Radiology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prohealth Advanced Imaging Medical Group IncElite Imperial ImagingRegents of the University of CaliforniaMemorialcare Medical FoundationDhew Ind HLTH SV HLTH SVS and MNTL HLTH AdmDHHS,PHS,Naihs, Gallup Indian Medical CenterCedars-Sinai Medical Care FoundationDHHS PHS Naihs Chinle Comprehensive Health Care Facility
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
- Memorialcare Long Beach Medical Center
- El Centro Regional Medical Center
- Cedars-Sinai Medical Center
- Gallup Indian Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Advanced Imaging Medical Group, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| County of Los Angeles | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| Usc Care Medical Group, Inc | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Gallup Indian Medical Center | Current | Accepting new patients | |
| Focus Medical Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Pronet Imaging Medical Group, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| DHHS PHS Naihs Chinle Comprehensive Health Care Facility | Current | Accepting new patients | |
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| DHHS,PHS,Naihs, Gallup Indian Medical Center | Current | Accepting new patients | |
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| Irene Benn Medical Center | Current | Accepting new patients | |
| West Valley Radiology Medical Group, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| DHHS IHS Phoenix | Current | Accepting new patients | |
| San Fernando Valley Interventional Radiology and Imaging Center | Current | Accepting new patients | |
| Regents of the University of California | Diagnostic Radiology | Current | Accepting new patients |
| DHHS PHS Naihs Chinle Comprehensive | Current | Accepting new patients | |
| Memorialcare Medical Foundation | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| Cedars-Sinai Medical Care Foundation | Current | 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
- 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.
-
- Diagnostic Radiology Physician
- North Hollywood, CA
- NPI 1003874702
CA, Diagnostic Radiology
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
CA, Diagnostic Radiology
-
- Public Health or Welfare Agency
- Phoenix, AZ
- NPI 1083643738
TX
-
- General Acute Care Hospital
- Chinle, AZ
- NPI 1508800129
TX
-
- General Acute Care Hospital
- Gallup, NM
- NPI 1225002322
TX
-
- Diagnostic Radiology Physician
- Monrovia, CA
- NPI 1528299989
CA, Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1528099488
CA, Diagnostic Radiology
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1184722779
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.