Natasha Dadour, MPAS, MPH, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

52578 Issued in CA

Practice address

1414 S Grand Ave
Suite 456
Los Angeles, CA 90015-3067

Phone

(213) 745-6047

Fax

(213) 748-9715

NPI assigned

Jul 21, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2024 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Bojana Jankovic Weatherly MD of New Jersey PC

  • Internal Medicine Physician
  • Fairfield, CT
  • NPI 1689371585
  NPD (past)
• Bojana Jankovic Weatherly, MD PLLC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1417623760
  NPD (past)

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1962887869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 S GRAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153067",
            "telephone_number": "213-745-6047",
            "fax_number": "213-748-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 S GRAND AVE",
            "address_2": "SUITE 456",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153067",
            "telephone_number": "213-745-6047",
            "fax_number": "213-748-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADOUR",
        "first_name": "NATASHA",
        "name_prefix": "Ms.",
        "credential": "MPAS, MPH, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shohreh Dadfar
• Raha Dadgar
• Armin Dadkhah, DPM
• Mahsa Dadkhah
• Simon Eliahou Dadoun, MD
• Afsaneh S Dadseresht
• Nektar Daduryan
• Dadvand Chiropractic Inc.
• Dadvand Chiropractic Inc.
• Babak Dadvand, M.D.

• Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.