Individual provider Active NPI

Homa Ghasemloei, M.D.

  • Family Medicine Physician
  • Reseda, CA
National Provider Identifier
1912192014
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A101315 Issued in CA
Practice address
6830 Reseda Blvd
Reseda, CA 91335-4204
Phone
(818) 996-4888
Fax
(818) 996-5888
NPI assigned
Sep 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A101315 CA Primary

Addresses

Primary practice location

6830 Reseda Blvd
Reseda, CA 91335-4204

Mailing address

6830 Reseda Blvd
Reseda, CA 91335-4204
Phone (818) 996-4888

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
I20090515000488 CA Practitioner - Family Practice 1456400779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6830 Reseda Blvd
Reseda, CA 91335-4204
Phone (818) 996-4888

Hospital & facility affiliations

  • Bloom Home Health Care Inc Home health agency, Woodland Hills, CA, CCN 758015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A101315CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peter Jahangir Parker, MD, Inc. PastSince May 22, 2022 Accepting new patients
Peter Jahangir Parker M D Inc. Past Accepting new patients
West Hills Hospital Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246233600000",
    "number": "1912192014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6830 RESEDA BLVD",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354204",
            "telephone_number": "818-996-4888",
            "fax_number": "818-996-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6830 RESEDA BLVD",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354204",
            "telephone_number": "818-996-4888",
            "fax_number": "818-996-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHASEMLOEI",
        "first_name": "HOMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2009-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A101315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

Verify at the official NPI Registry.