Organization Active NPI

Arash Moradzadeh MD, Inc

  • Medical Specialty Clinic/Center
  • Beverly Hills, CA
National Provider Identifier
1902165434
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
A115132 Issued in CA
Legal business name
ARASH MORADZADEH MD, INC
Practice address
462 N Linden Dr
Suite 236
Beverly Hills, CA 90212-2247
Phone
(310) 657-6420
Fax
(310) 659-8696
NPI assigned
May 3, 2012
Last updated
May 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Authorized official

Name
Arash Moradzadeh, MDNPI 1306930821
Title
President
Phone
(310) 657-6420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X A115132 CA Primary

Addresses

Primary practice location

462 N Linden Dr
Suite 236
Beverly Hills, CA 90212-2247

Mailing address

462 N Linden Drive
Suite 236
Beverly Hills, CA 90212
Phone (310) 657-6420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120720000505 CA Part B Supplier - Clinic/Group Practice 6204092190 Receives reassigned benefits from 1 practitioner
Practice locations: Beverly Hills, CA

National Provider Directory

National Provider Directory

Locations

9033 Wilshire Blvd
Ste 409
Beverly Hills, CA 90211
Phone (310) 278-0204

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1902165434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 N LINDEN DRIVE",
            "address_2": "SUITE 236",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90212",
            "telephone_number": "310-657-6420",
            "fax_number": "310-659-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 N LINDEN DR",
            "address_2": "SUITE 236",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122247",
            "telephone_number": "310-657-6420",
            "fax_number": "310-659-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARASH MORADZADEH MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "MORADZADEH",
        "authorized_official_first_name": "ARASH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-657-6420",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A115132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.