Individual provider Active NPI

Nathaniel David Moradzadeh, M.D.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1922341049
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A133002 Issued in CA
Practice address
757 Westwood PLZ Ste 1638
Los Angeles, CA 90095-1804
Phone
(310) 267-8796
Fax
(310) 267-2059
NPI assigned
Mar 27, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X A133002 CA
Diagnostic Radiology Physician 2085R0202X A133002 CA Primary

Addresses

Primary practice location

757 Westwood PLZ Ste 1638
Los Angeles, CA 90095-1804

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

1245 16th St Ste 100
Santa Monica, CA 90404-1255
Phone (310) 301-6800

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
I20180627001889 CA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 6204182629 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians
Tower Imaging Medical Associates IncGroup PAC ID 2163608688, 93 clinicians
Tower Imaging Medical Group IncGroup PAC ID 2668376708, 29 clinicians

Practice addresses (Care Compare)

12602 Amargosa Rd
Suite F
Victorville, CA 92392-7640
Phone (760) 261-5000

1328 22ND St
Santa Monica, CA 90404-2032
Phone (310) 829-8814

2202 Wilshire Blvd
Santa Monica, CA 90403-5706
Phone (310) 264-9000

23845 McBean Pkwy
Valencia, CA 91355-2001
Phone (661) 253-8000

23929 McBean Pkwy
Suite 109
Valencia, CA 91355-4467
Phone (661) 253-8705

Hospital & facility affiliations

  • Henry Mayo Newhall Hospital Hospital, Valencia, CA, CCN 050624
  • Saint John'S Health Center Hospital, Santa Monica, CA, CCN 050290

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A133002CAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Luther King Jr Community Medical Foundation CurrentSince Nov 7, 2018 Accepting new patients
Tower Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Providence Medical Foundation CurrentSince May 1, 2024 Accepting new patients
Little Company of Mary Ancillary Services Corporation CurrentSince Mar 6, 2025 Accepting new patients
Antelope Valley Outpatient Imaging Center, LLC Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Regents of the University of California CurrentSince Jul 1, 2018 Accepting new patients
Providence Medical Foundation CurrentSince May 1, 2024 Accepting new patients
Tower Imaging Medical Group, Inc Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Nov 7, 2018 Accepting new patients
Regents of the University of California CurrentSince Jul 1, 2018 Accepting new patients
St. Mary Medical Center Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Swedish First Hill Diagnostic Imaging, LLC Diagnostic Radiology Past Accepting new patients
Providence Medical Foundation Past Accepting new patients

Locations

19333 Bear Valley Rd
Ste 106
Apple Valley, CA 92308
Phone (760) 240-5505

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

1000 Flower St
Glendale, CA 91201
Phone (818) 659-5000

13355 Hawthorne Blvd
Hawthorne, CA 90250
Phone (310) 355-0100

44105 15th St W
Ste 100
Lancaster, CA 93534
Phone (661) 726-6050

File 59755
Los Angeles, CA 90074

757 Westwood Plz
Ste 1638
Los Angeles, CA 90095
Phone (310) 267-8796

2143 S Sepulveda Blvd
Ste 300
Los Angeles, CA 90025
Phone (310) 445-0751

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

300 UCLA Medical Plz
Ste B130
Los Angeles, CA 90095
Phone (310) 206-0456

1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350

1328 22nd St
Santa Monica, CA 90404
Phone (310) 829-5511

1245 16th St
Ste 100
Santa Monica, CA 90404

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2202 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 264-9000

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511

13400 Riverside Dr
Ste 102
Sherman Oaks, CA 91423

2382 Crenshaw Blvd
Ste 5
Torrance, CA 90501
Phone (310) 618-6200

20929 Hawthorne Blvd
Torrance, CA 90503
Phone (310) 303-7040

5215 Torrance Blvd
Ste 110
Torrance, CA 90503
Phone (310) 316-2424

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

21311 Madrona Ave
Ste 100A
Torrance, CA 90503
Phone (310) 792-4400

23845 McBean Pkwy
Valencia, CA 91355
Phone (661) 200-2000

12602 Amargosa Rd
Ste F
Victorville, CA 92392
Phone (760) 261-5000

Organizations & group practices 16

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 16

Hospital & facility affiliations 2

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": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1922341049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ STE 1638",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951804",
            "telephone_number": "310-267-8796",
            "fax_number": "310-267-2059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1245 16th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904041255",
            "country_code": "US",
            "telephone_number": "310-301-6800",
            "fax_number": "310-794-9035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORADZADEH",
        "first_name": "NATHANIEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A133002",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A133002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.