Individual provider Active NPI

Gelareh Vahdati

  • Nuclear Medicine Physician
  • Irvine, CA
National Provider Identifier
1871005876
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
A175751 Issued in CA
Practice address
4 Caraway
Irvine, CA 92604-3211
Phone
(310) 906-9595
NPI assigned
Oct 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nuclear Medicine Physician 207U00000X A175751 CA Primary

Addresses

Primary practice location

4 Caraway
Irvine, CA 92604-3211

Mailing address

4 Caraway
Irvine, CA 92604-3211
Phone (310) 906-9595

Other practice location 1

6076 71st Ave Apt 2L
Ridgewood, NY 11385-5115
Phone (310) 906-9595

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221121002201 CA Practitioner - Nuclear Medicine 6608244785 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13652 Cantara St
Panorama City, CA 91402-5423
Phone (818) 375-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A175751CAMDNuclear Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Aug 25, 2024 Accepting new patients
Permanente Medical Group Inc CurrentSince Aug 15, 2022 Accepting new patients
United Medical Imaging Healthcare, Inc. CurrentSince Feb 20, 2023 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients
United Medical Imaging Healthcare, Inc. CurrentSince Feb 20, 2023 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Permanente Medical Group, Inc CurrentSince Aug 15, 2022 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 25, 2024 Accepting new patients
United Medical Imaging Healthcare, Inc. Current Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients

Locations (25 of 44)

1801 W Romneya Dr
Ste 104
Anaheim, CA 92801
Phone (714) 678-4000

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

10230 Artesia Blvd
Ste 100
Bellflower, CA 90706
Phone (562) 461-2585

380 W Central Ave
Ste 210
Brea, CA 92821
Phone (714) 482-2121

6131 Orangethorpe Ave
Ste 130
Buena Park, CA 90620
Phone (714) 522-2077

11411 Brookshire Ave
Ste 101
Downey, CA 90241
Phone (562) 869-9192

11160 Warner Ave
Ste 105
Fountain Vly, CA 92708
Phone (714) 619-7500

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

1141 W Redondo Beach Blvd
Ste 307
Gardena, CA 90247
Phone (310) 715-6100

624 S Central Ave
Glendale, CA 91204
Phone (818) 241-3369

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

16161 Gothard St
Ste C
Huntington Beach, CA 92647
Phone (714) 843-6255

110 S La Brea Ave
Ste 150
Inglewood, CA 90301
Phone (310) 671-6000

15825 Laguna Canyon Rd
Ste 101
Irvine, CA 92618
Phone (949) 777-9000

2600 Redondo Ave
Ste 101
Long Beach, CA 90806
Phone (562) 424-4100

1040 Elm Ave
Ste 102
Long Beach, CA 90813
Phone (562) 285-1000

701 E 28th St
Ste 318
Long Beach, CA 90806
Phone (562) 290-8888

6310 San Vicente Blvd
Ste 102
Los Angeles, CA 90048
Phone (323) 556-3000

2080 Century Park E
Ste 104
Los Angeles, CA 90067
Phone (310) 432-8000

1127 Wilshire Blvd
Ste 202
Los Angeles, CA 90017
Phone (213) 223-5050

1127 Wilshire Blvd
Ste 100
Los Angeles, CA 90017
Phone (213) 202-5785

3513 Whittier Blvd
Los Angeles, CA 90023
Phone (323) 262-1814

4316 Slauson Ave
Maywood, CA 90270
Phone (323) 771-9867

26522 La Alameda
Ste 170
Mission Viejo, CA 92691
Phone (949) 535-2100

26522 La Alameda
Ste 280
Mission Viejo, CA 92691
Phone (949) 643-3345

Interoperability endpoints

  • Direct secure messaging: gelareh.vahdati@398008301912068.direct.elationemr.com

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1871005876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CARAWAY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043211",
            "telephone_number": "310-906-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CARAWAY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043211",
            "telephone_number": "310-906-9595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6076 71st Ave Apt 2L",
            "address_purpose": "LOCATION",
            "city": "Ridgewood",
            "state": "NY",
            "postal_code": "113855115",
            "country_code": "US",
            "telephone_number": "310-906-9595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAHDATI",
        "first_name": "GELAREH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2024-10-25",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "CA",
            "license": "A175751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "13652 Cantara St",
            "city": "Panorama City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914025423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.