SASHA RAVAEI PA-C
NPI 1003630203
Physician Assistant - Medical in Los Angeles, CA

Active since November 13, 2024PECOS EnrolledAccepts Medicare Assignment
2080 CENTURY PARK E STE 1405, LOS ANGELES, CA 90067(310) 858-6500 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sasha Ravaei Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SASHA RAVAEI PA-C (NPI 1003630203) is an individual medical provider in Los Angeles, California, licensed in California (PA65327) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1003630203
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSASHA RAVAEICredential: PA-C
Location Address2080 CENTURY PARK E STE 1405Los Angeles, CA 90067-2017
Mailing Address309 E 2nd StPomona, CA 91766-1854 · (909) 623-6116
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 13, 2024
NPPES CertifiedNovember 13, 2024
NPI 1003630203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · PA65327
2080 CENTURY PARK E STE 1405, Los Angeles, CA 90067

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sasha Ravaei Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446749139
PECOS Enrollment IDI20251031003027
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
2080 CENTURY PARK E STE 1405
LOS ANGELES, CA 90067

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sasha Ravaei's NPI number?

The NPI number for Sasha Ravaei is 1003630203. It was assigned to this individual provider in the NPPES registry on November 13, 2024.

Where is Sasha Ravaei located?

Sasha Ravaei practices at 2080 Century Park E Ste 1405, Los Angeles, CA 90067. The listed phone number is (310) 858-6500.

What is Sasha Ravaei's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Sasha Ravaei enrolled in Medicare?

Yes. Sasha Ravaei is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Sasha Ravaei was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.