Active NPI
Amir H Hedayati-Rad, M.D.
- Clinical Cardiac Electrophysiology Physician
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- A60239
- Practice address
- 706 W Broadway # 100
Glendale, CA 91204-1032 - Phone
- (818) 507-6404
- Fax
- (818) 507-6406
- NPI assigned
- Jul 17, 2006
- Last updated
- May 20, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A60239 | CA | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | A60239 | CA | Primary |
| Interventional Cardiology Physician | 207RI0011X | A60239 | CA |
Addresses
Primary practice location
706 W Broadway # 100
Glendale, CA 91204-1032
Mailing address
706 W Broadway # 100
Glendale, CA 91204-1032
Phone (818) 507-6404
Other practice location 1
930 W Main St
Barstow, CA 92311-2654
Phone (760) 256-1004
Other practice location 2
121 S 7th Ave Ste A
Barstow, CA 92311-3059
Phone (760) 818-4228
Other practice location 3
1245 Wilshire Blvd Ste 511
Los Angeles, CA 90017-4805
Phone (213) 855-1640
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659578110 | Other | CA | GROUP NPI NUMBER |
| P00319921 | Other | CA | RAILROAD MEDICARE |
| 00A602390 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15030 7TH St
Victorville, CA 92395-3811
Phone (213) 376-3762
201 S Alvarado St
Suite 321
Los Angeles, CA 90057-2354
Phone (213) 484-7800
2423 N Broadway
Los Angeles, CA 90031-2218
Phone (213) 376-3762
706 W Broadway
Suite 100
Glendale, CA 91204-1032
Phone (818) 507-6404
930 W Main St
Barstow, CA 92311-2654
Phone (818) 507-6404
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A60239 | CA | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vvipa Medical Group Inc | Current | Accepting new patients | |
| Ravindra Gautam, M.D., Inc. | Current | Accepting new patients | |
| Amir Hedayati-Rad M D Inc | Cardiovascular Disease | Current | Accepting new patients |
| High Desert Medical Group | Current | Accepting new patients | |
| Christo Cardiology & Vascular Medicine Inc | Cardiovascular Disease | Current | Accepting new patients |
| Priority Family Care Center Apc | Cardiovascular Disease | Current | Accepting new patients |
| Glendale Adventist Medical Center | Past | Accepting new patients | |
| White Memorial Medical Center | Past | Accepting new patients |
Locations
121 S 7th Ave
Ste A
Barstow, CA 92311
Phone (760) 818-4228
930 W Main St
Barstow, CA 92311
Phone 7602561004306
435 Arden Ave
Ste 330
Glendale, CA 91203
Phone (818) 507-6404
706 W Broadway
#100
Glendale, CA 91204
Phone (818) 507-6404
706 W Broadway
Ste 100
Glendale, CA 91204
Phone (818) 396-8300
1245 Wilshire Blvd
Ste 511
Los Angeles, CA 90017
Phone (213) 977-1246
1762 Westwood Blvd
Ste 110
Los Angeles, CA 90024
Phone (310) 441-2000
201 S Alvarado St
Ste 321
Los Angeles, CA 90057
Phone (213) 483-8464
2423 N Broadway
Los Angeles, CA 90031
Phone (213) 376-3762
850 S Atlantic Blvd
Ste 104
Monterey Park, CA 91754
Phone (213) 376-3762
12370 Hesperia Rd
Ste 2
Victorville, CA 92395
Phone (760) 245-4747
12408 Hesperia Rd
Ste 2
Victorville, CA 92395
Phone (760) 553-7000
15030 Seventh St
Victorville, CA 92395
Phone (213) 376-3762
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- amir.hedayati-rad.1@28873.direct.athenahealth.com
- amir.hedayati-rad.1@32769.direct.athenahealth.com
- amir.hedayati.p2@direct.hvvmg.nextgenshare.com
- amir.hedayati.p7@direct.hvvmg.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Cardiac Electrophysiology Physician
- Glendale, CA
- NPI 1659578110
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Los Angeles, CA
- NPI 1851140404
-
- Cardiovascular Disease Physician
- Los Angeles, CA
- NPI 1982298394
-
- Internal Medicine Physician
- Barstow, CA
- NPI 1366490310
-
dba Heritage Victor Valley Medical Group
- Clinic/Center
- Victorville, CA
- NPI 1295126001
-
- Multi-Specialty Clinic/Center
- Lancaster, CA
- NPI 1720196702
-
dba Adventist Health Glendale
- Skilled Nursing Facility
- Glendale, CA
- NPI 1114916293
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1215927470
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1215927470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589932800000",
"number": "1861410029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 W BROADWAY # 100",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912041032",
"telephone_number": "818-507-6404",
"fax_number": "818-507-6406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 W BROADWAY # 100",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912041032",
"telephone_number": "818-507-6404",
"fax_number": "818-507-6406"
}
],
"practiceLocations": [
{
"address_1": "930 W Main St",
"address_purpose": "LOCATION",
"city": "Barstow",
"state": "CA",
"postal_code": "923112654",
"country_code": "US",
"telephone_number": "760-256-1004",
"fax_number": "760-256-1055",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "121 S 7th Ave Ste A",
"address_purpose": "LOCATION",
"city": "Barstow",
"state": "CA",
"postal_code": "923113059",
"country_code": "US",
"telephone_number": "760-818-4228",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1245 Wilshire Blvd Ste 511",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900174805",
"country_code": "US",
"telephone_number": "213-855-1640",
"fax_number": "585-209-6318",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEDAYATI-RAD",
"first_name": "AMIR",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A60239",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "CA",
"license": "A60239",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CA",
"license": "A60239",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI NUMBER",
"identifier": "1659578110",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00319921",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A602390",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
- Heavenly Home Health, Inc.
- Heavenly Hospice and Palliative Care
- Heavenly Hospice Care Center Inc (Sacred Journy Hospice)
- Gemma Hechanova-Knipschild, N.P., A.P.R.N., B.C.
- Gerry Hechanova, BSN
- Ariel Hegedus, SLP
- Helen Rostamloo MD Inc
- Helix Medical Supplies
- Helm Pharmacy Inc (Friends Pharmacy)
- Helm Pharmacy Inc (Friends Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.