Active NPI
Nastaran Fatemi, MD
- Diagnostic Radiology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD2024-0053
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A874040 | Medicaid | CA | |
| GR0106035 | Medicaid | CA | |
| GR0106039 | Medicaid | CA | |
| 00A874040 | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1996
- Medicare assignment
- May accept Medicare assignment
- Group practices
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 100
- Quality
- 75
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.25 of 100
- Quality
- 75
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.38 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A87404 | CA | MD | Diagnostic Radiology Physician |
| MD-46189 | IA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norcal Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Stockton Diagnostic Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Beverly Radiology Medical Group III | Diagnostic Radiology | Current | Accepting new patients |
| Unm Medical Group, Inc. | Current | Accepting new patients | |
| Pronet Imaging Medical Group, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Radnet Medical Imaging-San Francisco | Diagnostic Radiology | Current | Accepting new patients |
| Norcal Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Santa Rosa Imaging Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Kern Radiology Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Diagnostic Radiological Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Kern Radiology Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Modesto Advanced Diagnostic Imaging Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Spectrum Imaging SC | Current | Accepting new patients | |
| Unm Medical Group Inc | Current | Accepting new patients | |
| San Fernando Valley Interventional Radiology and Imaging Center | Current | Accepting new patients | |
| Beverly Radiology Medical Group III | Diagnostic Radiology | Current | Accepting new patients |
| Beverly Radiology Medical Group III | Diagnostic Radiology | Current | Accepting new patients |
| Scancare Diagnostics LLC | Past | Accepting new patients | |
| Munro, Booth & Cutruzzola | Diagnostic Radiology | Past | 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
- 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.
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1962457812
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- Diagnostic Radiology Physician
- Palm Desert, CA
- NPI 1568416147
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1710931910
-
- Diagnostic Radiology Physician
- Bakersfield, CA
- NPI 1700821972
-
dba Modesto Advanced Diag Imaging Medical Center
- Diagnostic Radiology Physician
- Modesto, CA
- NPI 1730133893
-
- Diagnostic Radiology Physician
- Concord, CA
- NPI 1003965997
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1528099488
-
- Diagnostic Radiology Physician
- San Francisco, CA
- NPI 1548345382
-
- Vascular-Interventional Technology Radiologic Technologist
- Encino, CA
- NPI 1942350889
-
- Diagnostic Radiology Physician
- Santa Rosa, CA
- NPI 1689890444
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.