NPIMap

Individual provider Active NPI

Rouzbeh Afsari, M.D.

  • Nephrology Physician
  • Northridge, CA
National Provider Identifier
1962633289
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A124032 Issued in CA
Practice address
18433 Roscoe Blvd Ste 202
Northridge, CA 91325-4134
Phone
(818) 349-1262
Fax
(818) 349-7529
NPI assigned
Aug 4, 2009
Last updated
Jan 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A124032 CA Primary

Addresses

Primary practice location

18433 Roscoe Blvd Ste 202
Northridge, CA 91325-4134

Mailing address

1500 S Central Ave
Suite 300
Glendale, CA 91204-2530
Phone (818) 242-0475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130729000944 CA Practitioner - Internal MedicinePractitioner - Nephrology 0244471514 Reassigns benefits to 1 organization
I20210112001404 CA Practitioner - Nephrology 0244471514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney Disease Medical Group IncGroup PAC ID 3173542198, 8 clinicians

Practice addresses (Care Compare)

1505 Wilson Ter
Glendale, CA 91206-4032
Phone (818) 500-4055

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Disease Medical Group Inc CurrentSince Jan 1, 2015 Accepting new patients
Dignity Health Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients

Locations

44 N Tu Su Ln
Bishop, CA 93514
Phone (760) 873-6111

1500 S Central Ave
Ste 300
Glendale, CA 91204
Phone (818) 242-0475

1505 Wilson Ter
Ste 155
Glendale, CA 91206
Phone (818) 500-4055

1540 W West Covina Pkwy
West Covina, CA 91790
Phone (626) 337-8007

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15679/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rouzbeh.afsari.1@15679.direct.athenahealth.com

Organizations & group practices 6

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 9

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": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1962633289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S CENTRAL AVE",
            "address_2": "SUITE 300",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042530",
            "telephone_number": "818-242-0475",
            "fax_number": "818-662-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18433 ROSCOE BLVD STE 202",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254134",
            "telephone_number": "818-349-1262",
            "fax_number": "818-349-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFSARI",
        "first_name": "ROUZBEH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-04",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A124032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.