Individual provider Active NPI

Nazila Rad

  • Neurology Physician
  • Torrance, CA
National Provider Identifier
1932549425
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A141810 Issued in CA
Practice address
3655 Lomita Blvd Ste 302
Torrance, CA 90505-1919
Phone
(424) 383-1045
Fax
(424) 383-1046
NPI assigned
Jun 27, 2013
Last updated
Jun 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A141810 CA Primary

Addresses

Primary practice location

3655 Lomita Blvd Ste 302
Torrance, CA 90505-1919

Mailing address

3655 Lomita Blvd
Ste 302
Torrance, CA 90505-1919
Phone (424) 383-1045

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Desktop

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
I20181003003200 CA Practitioner - Neurology 4385913813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3655 Lomita Blvd
Suite 302
Torrance, CA 90505-1919
Phone (424) 383-1045

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A141810CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay Neurology Medical Corporation CurrentSince Jun 8, 2020 Accepting new patients

Locations

2325 Palos Verdes Dr W
Ste 220
Palos Verdes Estates, CA 90274
Phone (424) 327-2990

3655 Lomita Blvd
Ste 302
Torrance, CA 90505
Phone (310) 375-5789

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: nrad@sbnmc-ca.direct.office.nextgen.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1932549425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 LOMITA BLVD",
            "address_2": "STE 302",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905051919",
            "telephone_number": "424-383-1045",
            "fax_number": "424-383-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 LOMITA BLVD STE 302",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905051919",
            "telephone_number": "424-383-1045",
            "fax_number": "424-383-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAD",
        "first_name": "NAZILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A141810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "address_1": "3655 Lomita Blvd Ste 302",
            "city": "Torrance",
            "state": "CA",
            "country_code": "US",
            "postal_code": "905051919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.