Individual provider Active NPI

Nastaran Fatemi, MD

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1861430373
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD2024-0053 Issued in NM
Practice address
1516 Cotner Ave
Los Angeles, CA 90025-3303
Phone
(310) 445-2951
Fax
(310) 479-1459
NPI assigned
Jun 4, 2006
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A87404 CA
Diagnostic Radiology Physician 2085R0202X MD-46189 IA
Diagnostic Radiology Physician 2085R0202X MD2024-0053 NM Primary

Addresses

Primary practice location

1516 Cotner Ave
Los Angeles, CA 90025-3303

Mailing address

1516 Cotner Ave
Los Angeles, CA 90025-3303
Phone (310) 445-2951

Other practice location 1

105 E 9th St
Coralville, IA 52241-2209
Phone (319) 467-2000

Other practice location 2

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1956

Other identifiers 4

IdentifierTypeStateIssuer
00A874040MedicaidCA
GR0106035MedicaidCA
GR0106039MedicaidCA
00A874040OtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NM2 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
I20100824001032 CA Practitioner - Diagnostic Radiology 8820063415 Reassigns benefits to 16 organizations
I20240222002352 NM Practitioner - Diagnostic Radiology 8820063415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Desert Advanced Imaging Medical CenterGroup PAC ID 6406749613, 209 clinicians
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians
Spectrum Imaging SCGroup PAC ID 3678892247, 41 clinicians

Practice addresses (Care Compare)

10101 Riverside Dr
Toluca Lake, CA 91602-2517
Phone (818) 762-2626

1080 N Indian Canyon Dr
Suite 104
Palm Springs, CA 92262-4870
Phone (760) 322-3036

2428 Santa Monica Blvd
Suite 100
Santa Monica, CA 90404-2046
Phone (310) 582-7900

2601 E Tahquitz Canyon Way
Palm Springs, CA 92262-7015
Phone (760) 318-2980

555 S Barrington Ave
Apt 422
Los Angeles, CA 90049-4362
Phone (800) 695-8191

57840 29 Palms Hwy
Yucca Valley, CA 92284-3047
Phone (760) 228-1047

72115 Hwy 111
Rancho Mirage, CA 92270-4962
Phone (760) 837-1420

72855 Fred Waring Dr
Palm Desert, CA 92260-9368
Phone (760) 837-1420

74000 Cnty Club Dr
Palm Desert, CA 92260-1685
Phone (760) 674-8800

8805 Haven Ave
Suite 120
Rancho Cucamonga, CA 91730-5149
Phone (909) 982-8638

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.38 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40
Cost
77.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A87404CAMDDiagnostic Radiology Physician
MD-46189IAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norcal Imaging Diagnostic Radiology CurrentSince Jan 23, 2018 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Nov 5, 2022 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Nov 5, 2022 Accepting new patients
Stockton Diagnostic Imaging Diagnostic Radiology CurrentSince Nov 1, 2017 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Sep 13, 2017 Accepting new patients
Unm Medical Group, Inc. CurrentSince Feb 12, 2024 Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Aug 1, 2010 Accepting new patients
Radnet Medical Imaging-San Francisco Diagnostic Radiology CurrentSince Dec 1, 2017 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Jan 23, 2018 Accepting new patients
Santa Rosa Imaging Medical Center Diagnostic Radiology CurrentSince Nov 1, 2017 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Current Accepting new patients
Diagnostic Radiological Imaging Diagnostic Radiology CurrentSince Nov 1, 2017 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Modesto Advanced Diagnostic Imaging Medical Center Diagnostic Radiology CurrentSince Apr 18, 2010 Accepting new patients
Spectrum Imaging SC CurrentSince Jan 7, 2026 Accepting new patients
Unm Medical Group Inc CurrentSince Feb 12, 2024 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Nov 1, 2017 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jan 1, 2006 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Sep 13, 2017 Accepting new patients
Scancare Diagnostics LLC Past Accepting new patients
Munro, Booth & Cutruzzola Diagnostic Radiology PastSince Oct 17, 2021 Accepting new patients
Radmol Pet Center, LLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 38)

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

1817 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 325-6800

2301 Bahamas Dr
Bakersfield, CA 93309

3838 San Dimas St
Ste A120
Bakersfield, CA 93301
Phone (661) 328-9600

9330 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 325-6800

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

2601 W Alameda Ave
Ste 101
Burbank, CA 91505
Phone (818) 843-7462

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

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

2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234

6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433

9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314

250 S 12th Ave
Hanford, CA 93230
Phone (559) 295-2450

2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333

11360 Mountain View Ave
Ste C
Loma Linda, CA 92354
Phone (909) 478-3300

3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903

3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700

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

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

27168 Newport Rd
Ste B
Menifee, CA 92584
Phone (951) 566-5725

157 E Coolidge Ave
Modesto, CA 95350
Phone (209) 524-6800

25395 Hancock Ave
#1101112
Murrieta, CA 92562
Phone (951) 696-4230

3909 Waring Rd
Ste Bc
Oceanside, CA 92056
Phone (760) 630-0014

Interoperability endpoints

  • Direct secure messaging: nfatemi162075@uihcdirect.org

Organizations & group practices 24

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.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1861430373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 COTNER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253303",
            "telephone_number": "310-445-2951",
            "fax_number": "310-479-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 COTNER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253303",
            "telephone_number": "310-445-2951",
            "fax_number": "310-479-1459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 E 9th St",
            "address_purpose": "LOCATION",
            "city": "Coralville",
            "state": "IA",
            "postal_code": "522412209",
            "country_code": "US",
            "telephone_number": "319-467-2000",
            "fax_number": "319-467-2410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-356-1956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FATEMI",
        "first_name": "NASTARAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A87404",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "MD-46189",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "MD2024-0053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A874040",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0106035",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0106039",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A874040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.