Active NPI
Soha Dolatabadi, M.D.
- Internal Medicine Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A93675
- Practice address
- 1245 Wilshire Blvd
Ste 804
Los Angeles, CA 90017-4810 - Phone
- (213) 977-1030
- Fax
- (213) 977-0379
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A93675 | CA | Primary |
Addresses
Primary practice location
1245 Wilshire Blvd
Ste 804
Los Angeles, CA 90017-4810
Mailing address
1245 Wilshire Blvd
Ste 804
Los Angeles, CA 90017-4810
Phone (213) 977-1030
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A936750 | Medicaid | CA | |
| P00429086 | Other | CA | MEDICARE RAILROAD-PTAN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11 Aspen Way
Suite 1
Watsonville, CA 95076-6014
Phone (602) 688-2248
1127 Wilshire Blvd
Suite 1112
Los Angeles, CA 90017-4002
Phone (213) 266-8200
1211 W la Palma Ave
Suite 306
Anaheim, CA 92801-2811
Phone (602) 688-2248
12865 Pointe del Mar Way
Suite 290
Del Mar, CA 92014-3861
Phone (602) 688-2248
15835 Pomerado Rd
Suite 103
Poway, CA 92064-2042
Phone (602) 688-2248
24422 Avenida de la Carlota
Suite 375
Laguna Hills, CA 92653-3668
Phone (602) 688-2248
29645 Rancho California Rd
Suite 109
Temecula, CA 92591-5285
Phone (602) 688-2248
32144 Agoura Rd
Suite 207
Westlake Village, CA 91361-4052
Phone (602) 688-2248
3655 Lomita Blvd
Suite 303
Torrance, CA 90505-1920
Phone (602) 688-2248
3808 W Riverside Dr
Suite 500
Burbank, CA 91505-5301
Phone (602) 688-2248
65 N Madison Ave
Suite 303
Pasadena, CA 91101-2277
Phone (602) 688-2248
7677 Ctr Ave
Suite 212
Huntington Beach, CA 92647-9103
Phone (602) 688-2248
8750 Wilshire Blvd
Suite 210
Beverly Hills, CA 90211-2703
Phone (602) 688-2248
8750 Wilshire Blvd
Suite 350
Beverly Hills, CA 90211-2700
Phone (602) 688-2248
Hospital & facility affiliations
- Skylar Home Health, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 71.19 of 100
- Quality
- 95.48
- Improvement activities
- 40
- Cost
- 10
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Los Angeles | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| Thaila Ramanujam M D Inc | Current | Accepting new patients | |
| Soha Dolatabadi MD a Professional Corporation | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Martin Luther King, Jr. - Los Angeles (MLK-la) Healthcare Corporation | Past | Accepting new patients |
Locations
1211 W La Palma Ave
Ste 306
Anaheim, CA 92801
Phone (714) 778-1300
8750 Wilshire Blvd
Ste 210
Beverly Hills, CA 90211
Phone (310) 652-0920
8750 Wilshire Blvd
Ste 350
Beverly Hills, CA 90211
Phone (310) 652-0010
3808 W Riverside Dr
Ste 500
Burbank, CA 91505
Phone (310) 800-1442
4254 Green River Rd
Corona, CA 92878
Phone (866) 936-0550
12865 Pointe del Mar Way
Ste 290
Del Mar, CA 92014
7601 Imperial Hwy
Downey, CA 90242
Phone (310) 940-8111
7677 Center Ave
Ste 212
Huntington Beach, CA 92647
Phone (301) 597-3317
24422 Avenida de la Carlota
Ste 295
Laguna Hills, CA 92653
Phone (602) 688-2249
24422 Avenida de la Carlota
Ste 375
Laguna Hills, CA 92653
Phone (949) 770-4177
1127 Wilshire Blvd
Ste 1112
Los Angeles, CA 90017
Phone (213) 266-8200
369 San Miguel Dr
Ste 310
Newport Beach, CA 92660
13652 Cantara St
Panorama City, CA 91402
Phone (818) 375-2417
65 N Madison Ave
Ste 303
Pasadena, CA 91101
5820 Stoneridge Mall Rd
Ste 110
Pleasanton, CA 94588
15835 Pomerado Rd
Ste 103
Poway, CA 92064
3760 Convoy St
Ste 113
San Diego, CA 92111
1505 Soquel Dr
Ste 9
Santa Cruz, CA 95065
Phone (831) 462-8960
29645 Rancho California Rd
Ste 109
Temecula, CA 92591
Phone (951) 693-9800
3655 Lomita Blvd
Ste 303
Torrance, CA 90505
Phone (310) 791-0722
32144 Agoura Rd
Ste 207
Westlake Vlg, CA 91361
Phone (805) 217-4055
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- soha.dolatabadi.p1@direct.dolatabadi.nextgenshare.com
- https://fhir4.healow.com/fhir/r4/FDJGBA
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 and National Provider Directory roles.
-
- Rheumatology Physician
- Los Angeles, CA
- NPI 1427509140
-
- Specialist
- Santa Cruz, CA
- NPI 1700056280
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1851363188
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1114367497
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- North Hollywood, CA
- NPI 1972092468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363737600000",
"number": "1992806277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 WILSHIRE BLVD",
"address_2": "STE 804",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900174810",
"telephone_number": "213-977-1030",
"fax_number": "213-977-0379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 WILSHIRE BLVD",
"address_2": "STE 804",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900174810",
"telephone_number": "213-977-1030",
"fax_number": "213-977-0379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLATABADI",
"first_name": "SOHA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2013-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A93675",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A936750",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD-PTAN",
"identifier": "P00429086",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.