Individual provider Active NPI

Jalil Rashti, M.D.

  • Specialist
  • Encino, CA
National Provider Identifier
1942378369
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A48983 Issued in CA
Practice address
16661 Ventura Blvd Ste 701
Encino, CA 91436-1987
Phone
(818) 386-1823
Fax
(818) 907-0255
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A48983 CA Primary

Addresses

Primary practice location

16661 Ventura Blvd Ste 701
Encino, CA 91436-1987

Mailing address

16661 Ventura Blvd Ste 701
Encino, CA 91436-1987
Phone (818) 386-1823

Other identifiers 1

IdentifierTypeStateIssuer
00A489830MedicaidCA

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
I20101207001100 CA Practitioner - Orthopedic Surgery 5193741049 Practice locations: Encino, CA

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16661 Ventura Blvd
Encino, CA 91436-1987
Phone (818) 386-1823

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A48983CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Samra Medical Group Inc Specialist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288310400000",
    "number": "1942378369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 701",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361987",
            "telephone_number": "818-386-1823",
            "fax_number": "818-907-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 701",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361987",
            "telephone_number": "818-386-1823",
            "fax_number": "818-907-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASHTI",
        "first_name": "JALIL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2010-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A48983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A489830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.