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NEJAT ROSTAMI M.D.
NPI 1114064987
Specialist in Los Angeles, CA

Active since January 31, 2007PECOS Enrolled
1080 N WESTERN AVE, LOS ANGELES, CA 90029(323) 957-8787(323) 957-8787 Get Directions Write a Review

NPPES record last updated: December 14, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nejat Rostami M.d. NPPES

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

NEJAT ROSTAMI M.D. (NPI 1114064987) is an individual specialist in Los Angeles, California, licensed in California (A48731) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114064987
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameNEJAT ROSTAMICredential: M.D.
Location Address1080 N WESTERN AVELos Angeles, CA 90029-2310
Mailing Address1080 N Western AveLos Angeles, CA 90029-2310 · (323) 957-8787 · Fax (323) 957-8777
Phone(323) 957-8787
Fax(323) 957-8787
Sole ProprietorNo
Enumeration DateJanuary 31, 2007
Last NPPES UpdateDecember 14, 2010
✔ NPI 1114064987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A48731
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1080 N WESTERN AVE, Los Angeles, CA 90029
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Other Identifiers 3

MedicaidOOA487310CA
Medicare UPINE66967CA
Medicare ID-Type UnspecifiedWA48731MCA · Rendering Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nejat Rostami M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Nejat Rostami reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

San Judas Community Health Center, Inc.
Same address
Clinic/Center
1080 N WESTERN AVE
Los Angeles, CA 90029
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1184134827 (323) 957-3737

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

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

SAN JUDAS MEDICAL GROUP WEST
Specialist
1080 N WESTERN AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 957-8787
DR. ANITA RENAU BRALOCK CNM
Advanced Practice Midwife
1080 N WESTERN AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 957-3737
SAN JUDAS COMMUNITY HEALTH CENTER, INC.
Clinic/Center
1080 N WESTERN AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 957-3737
MS. JACKLYN JUMP FNP-C
Nurse Practitioner (Family)
1080 N WESTERN AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 957-8787
N. ROSTAMI MEDICAL GROUP, INC.
Clinical Medical Laboratory
1080 N WESTERN AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 957-8787
DR. BENJAMIN ROSTAMI MD
Internal Medicine
1080 N WESTERN AVE
LOS ANGELES, CA 90029
Los Angeles County (310) 963-3035
SANCHITA DAS FNP
Nurse Practitioner (Family)
1080 N WESTERN AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 957-8787
BABAK BOBBY ROSTAMI M.D. INTERNAL MEDICI
Internal Medicine
1080 N WESTERN AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 957-8787

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 Nejat Rostami's NPI number?

The NPI number for Nejat Rostami is 1114064987. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Nejat Rostami located?

Nejat Rostami practices at 1080 N Western Ave, Los Angeles, CA 90029. The listed phone number is (323) 957-8787.

What is Nejat Rostami's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Nejat Rostami enrolled in Medicare?

Yes. Nejat Rostami is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nejat Rostami's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nejat Rostami reassigns Medicare benefits to San Judas Community Health Center, Inc. (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nejat Rostami's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nejat Rostami was last updated on December 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.