Individual provider Active NPI

Ahrya Farrohi Derakhshani, M.D.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1942630173
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A167466 Issued in CA
Practice address
1500 San Pablo St FL 2
Los Angeles, CA 90033-5313
Phone
(323) 442-8541
NPI assigned
Nov 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A167466 CA Primary

Addresses

Primary practice location

1500 San Pablo St FL 2
Los Angeles, CA 90033-5313

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 442-8541

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
I20200609002198 CA Practitioner - Diagnostic Radiology 9436440211 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, Davis School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Medical Imaging Healthcare IncGroup PAC ID 0143311241, 59 clinicians

Practice addresses (Care Compare)

18250 Roscoe Blvd
Suite 135
Northridge, CA 91325-4263
Phone (818) 701-7111

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Imaging Healthcare, Inc. CurrentSince Apr 25, 2022 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Aug 4, 2020 Accepting new patients
United Medical Imaging Healthcare, Inc. Current Accepting new patients
Usc Care Medical Group, Inc Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Aug 4, 2020 Accepting new patients
United Medical Imaging Healthcare, Inc. CurrentSince Apr 25, 2022 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jul 1, 2021 Accepting new patients
UCLA Medical Group Diagnostic Radiology Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Diagnostic Radiology Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
The Regents of the University of California Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients

Locations (25 of 35)

1801 W Romneya Dr
Ste 104
Anaheim, CA 92801
Phone (714) 678-4000

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

10230 Artesia Blvd
Ste 100
Bellflower, CA 90706
Phone (562) 461-2585

380 W Central Ave
Ste 210
Brea, CA 92821
Phone (714) 482-2121

6131 Orangethorpe Ave
Ste 130
Buena Park, CA 90620
Phone (714) 522-2077

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

11411 Brookshire Ave
Ste 101
Downey, CA 90241
Phone (562) 869-9192

11160 Warner Ave
Ste 105
Fountain Vly, CA 92708
Phone (714) 619-7500

12665 Garden Grove Blvd
Ste 103
Garden Grove, CA 92843
Phone (714) 620-8200

1141 W Redondo Beach Blvd
Ste 105
Gardena, CA 90247
Phone (310) 436-1730

1141 W Redondo Beach Blvd
Ste 307
Gardena, CA 90247
Phone (310) 715-6100

624 S Central Ave
Glendale, CA 91204
Phone (818) 241-3369

16161 Gothard St
Ste C
Huntington Beach, CA 92647
Phone (714) 843-6255

110 S La Brea Ave
Ste 150
Inglewood, CA 90301
Phone (310) 671-6000

15825 Laguna Canyon Rd
Ste 101
Irvine, CA 92618
Phone (949) 777-9000

701 E 28th St
Ste 318
Long Beach, CA 90806
Phone (562) 290-8888

1040 Elm Ave
Ste 102
Long Beach, CA 90813
Phone (562) 285-1000

4916 Whittier Blvd
Los Angeles, CA 90022
Phone (213) 596-8100

1127 Wilshire Blvd
Ste 100
Los Angeles, CA 90017
Phone (213) 202-5785

1127 Wilshire Blvd
Ste 202
Los Angeles, CA 90017
Phone (213) 223-5050

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

3513 Whittier Blvd
Los Angeles, CA 90023
Phone (323) 262-1814

2080 Century Park E
Ste 104
Los Angeles, CA 90067
Phone (310) 432-8000

6310 San Vicente Blvd
Ste 102
Los Angeles, CA 90048
Phone (323) 556-3000

1500 San Pablo St
Fl 2
Los Angeles, CA 90033
Phone (323) 442-8541

Organizations & group practices 37

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 37

NPI Registry JSON

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1942630173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "323-442-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SAN PABLO ST FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335313",
            "telephone_number": "323-442-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERAKHSHANI",
        "first_name": "AHRYA",
        "middle_name": "FARROHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-25",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A167466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.