Individual provider Active NPI

Kamron Izadi, MD

  • Diagnostic Radiology Physician
  • Rolling Hills Estates, CA
National Provider Identifier
1871757005
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A102215 Issued in CA
Practice address
46E Peninsula Ctr # 226
Rolling Hills Estates, CA 90274-3506
Phone
(657) 224-2430
NPI assigned
Jul 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X EMC0005154 MI
Diagnostic Radiology Physician 2085R0202X A102215 CA Primary

Addresses

Primary practice location

46E Peninsula Ctr # 226
Rolling Hills Estates, CA 90274-3506

Mailing address

46E Peninsula Ctr # 226
Rolling Hills Estates, CA 90274-3506

Other practice location 1

4660 S Hagadorn Rd Ste 410
East Lansing, MI 48823-6819
Phone (517) 353-5053

Other practice location 2

4660 S Hagadorn Rd Ste 510
East Lansing, MI 48823-6805
Phone (517) 353-5053

Other practice location 3

3220 Discovery Dr Ste 100
Lansing, MI 48910-8609
Phone (517) 975-8930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, MI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20121212000539 CA Practitioner - Diagnostic Radiology 8426200783 Reassigns benefits to 10 organizations
I20150130001863 TX Practitioner - Diagnostic Radiology 8426200783 Reassigns benefits to 3 organizations
I20240607003391 MI Practitioner - Diagnostic Radiology 8426200783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Northeastern Ohio University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians
Main Line Health Imaging LPGroup PAC ID 7618867664, 51 clinicians
Radiology Associates of the Main Line P CGroup PAC ID 9931097193, 80 clinicians
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians

Practice addresses (Care Compare)

15775 Laguna Canyon Rd
Suite 140
Irvine, CA 92618-3190
Phone (949) 522-8120

24 Pacific GRV
Irvine, CA 92602-1017
Phone (480) 306-6949

52 Pacifica del Mar
Rancho Palos Verdes, CA 90275-2506
Phone (484) 565-1596

635 Camino de Los Mares
Suite 101
San Clemente, CA 92673-2801
Phone (949) 506-5316

8370 Wilshire Blvd
110 Simonmed Imaging Beverly Hills Stand Up
Beverly Hills, CA 90211-2334
Phone (323) 966-0000

Hospital & facility affiliations

  • Riddle Memorial Hospital Hospital, Media, PA, CCN 390222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A102215CAMDDiagnostic Radiology Physician

Practice roles (22 of 25)

OrganizationSpecialtyStatusNew patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince May 1, 2021 Accepting new patients
Msu Health Care Inc. Diagnostic Radiology CurrentSince Jun 25, 2024 Accepting new patients
Ton Sells Hospital CurrentSince Dec 9, 2014 Accepting new patients
Shin MRI LLC CurrentSince Feb 1, 2024 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Jan 1, 2014 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Feb 20, 2023 Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Dec 15, 2017 Accepting new patients
Simonmed Reno PLLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Radiology Associates of the Main Line P C Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Pennsylvania Radiology Associates PC Diagnostic Radiology CurrentSince Jan 28, 2025 Accepting new patients
Shin Imaging LLC CurrentSince Feb 1, 2024 Accepting new patients
Msu Health Care Inc. CurrentSince Jun 25, 2024 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Current Accepting new patients
Msu Health Care Inc Current Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Oct 7, 2024 Accepting new patients
Ton San Simon Health Center CurrentSince Mar 1, 2016 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Feb 20, 2023 Accepting new patients
Shin Imaging LLC CurrentSince Feb 1, 2024 Accepting new patients
Ton San Xavier Health Center CurrentSince Mar 1, 2016 Accepting new patients
Health Diagnostics of California LLC Diagnostic Radiology Past Accepting new patients
Ton San Xavier Health Center Past Accepting new patients
Ton Sells Hospital Past Accepting new patients

Locations

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

16220 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254

7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550

2301 Bahamas Dr
Bakersfield, CA 93309

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

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

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

155 N San Vicente Blvd
#1182
Beverly Hills, CA 90211
Phone (323) 433-7800

8370 Wilshire Blvd
Ste 110
Beverly Hills, CA 90211
Phone (323) 966-0000

455 Hickey Blvd
Ste 200
Daly City, CA 94015
Phone (650) 757-2030

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

15775 Laguna Canyon Rd
Irvine, CA 92618
Phone (617) 455-2048

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

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

14302 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 975-1111

4660 S Hagadorn Rd
Ste 510
East Lansing, MI 48823
Phone (517) 884-7450

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

4660 S Hagadorn Rd
Ste 410
East Lansing, MI 48823
Phone (517) 884-6132

804 Service Rd
Ste A202
East Lansing, MI 48824
Phone (517) 884-2976

3220 Discovery Dr
Ste 100
Lansing, MI 48910
Phone (517) 975-8930

255 W Lancaster Ave
Paoli, PA 19301
Phone (484) 337-4286

Networks

  • Optimum HealthCare HMO Network
  • BSC 65 PLUS INDIVIDUAL MAPD
  • Freedom Health HMO Network

Organizations & group practices 23

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.

View all 23

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": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1871757005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46E PENINSULA CTR # 226",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46E PENINSULA CTR # 226",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743506",
            "telephone_number": "657-224-2430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4660 S Hagadorn Rd Ste 410",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488236819",
            "country_code": "US",
            "telephone_number": "517-353-5053",
            "fax_number": "517-884-6236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4660 S Hagadorn Rd Ste 510",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488236805",
            "country_code": "US",
            "telephone_number": "517-353-5053",
            "fax_number": "517-884-7460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3220 Discovery Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489108609",
            "country_code": "US",
            "telephone_number": "517-975-8930",
            "fax_number": "517-337-4985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IZADI",
        "first_name": "KAMRON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-16",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "EMC0005154",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A102215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Hills Estates, CA

Sources for this page

Verify at the official NPI Registry.