Sabina Rasulov

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

197608059 Issued in CA

Practice address

542 N Vista St
Los Angeles, CA 90036-5743

Phone

(323) 658-8722

Fax

(323) 782-0153

NPI assigned

Jun 10, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sierra Bonita Board and Care Inc

  • Assisted Living Facility
  • Los Angeles, CA
  • NPI 1235520735
  NPD (past) Authorized official

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1942613674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 N VISTA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900365743",
            "telephone_number": "323-658-8722",
            "fax_number": "323-782-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 N VISTA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900365743",
            "telephone_number": "323-658-8722",
            "fax_number": "323-782-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASULOV",
        "first_name": "SABINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": "197608059",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": "197608060",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": "197608058",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Rastegar
• Mandana Rastegar, M.D.
• Ali Rastegarpour, MD
• Anjay Rastogi, MD
• Rohan Rastogi, MD, MPH
• Ambika Raswant, MS MFT
• Samuel Raszka
• Tatiana Ratavosian, PT
• Vahe Ratavousian
• Casey Rath

• Adult Care Home Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.