Individual provider Active NPI

Soha Dolatabadi, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1992806277
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A93675 Issued in CA
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

Updated by the provider on Mar 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A936750MedicaidCA
P00429086OtherCAMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061206000230 CA Practitioner - RheumatologyPractitioner - Internal Medicine 4385643055 Reassigns benefits to 4 organizations
Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thaila Ramanujam M D IncGroup PAC ID 1951465871, 4 clinicians

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 Home health agency, Sherman Oaks, CA, CCN 559083

Merit-based Incentive Payment System (MIPS)

Final score
71.19 of 100Reported as group
Quality
95.48
Improvement activities
40
Cost
10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Dec 4, 2011 Accepting new patients
County of Los Angeles CurrentSince Dec 4, 2011 Accepting new patients
Thaila Ramanujam M D Inc CurrentSince Dec 1, 2023 Accepting new patients
Soha Dolatabadi MD a Professional Corporation CurrentSince Oct 25, 2016 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: soha.dolatabadi.p1@direct.dolatabadi.nextgenshare.com
  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.