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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NIMA OMID-FARD
NPI 1154161222
Radiology - Diagnostic Radiology in Los Angeles, CA

Active since May 28, 2024PECOS Enrolled
1500 SAN PABLO ST, LOS ANGELES, CA 90033(617) 726-8320(617) 724-3338 Get Directions Write a Review

NPPES record last updated: August 30, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 30, 2026, Aug 20, 2024, Aug 12, 2024 (3 updates tracked since 2024).

About Nima Omid-fard NPPES

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

NIMA OMID-FARD (NPI 1154161222) is an individual diagnostic radiology provider in Los Angeles, California, licensed in California (A204738) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1154161222
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameNIMA OMID-FARD
Location Address1500 SAN PABLO STLos Angeles, CA 90033-5313
Mailing Address1450 San Pablo St Ste 3500Los Angeles, CA 90033-5332 · (626) 483-9040
Phone(617) 726-8320
Fax(617) 724-3338
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 28, 2024
Last NPPES UpdateAugust 30, 20263 updates tracked since enumeration
NPPES CertifiedAugust 30, 2026
✔ NPI 1154161222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in CA · A204738
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Diagnostic NeuroimagingTaxonomy 2085D0003X · License A204738 (CA)
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License A204738 (CA)
1500 SAN PABLO ST, Los Angeles, CA 90033
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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

Nima Omid-fard 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 ID5890228159
PECOS Enrollment IDI20241025001377, I20251104001765
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.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Martha's Vineyard Hospital Inc

Critical Access Hospitals · Oak Bluffs, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number221300
LocationOne Hospital Road, First Fl, Wing 5, PO Box 1477Oak Bluffs, MA 02557 · Dukes County
Emergency services Birthing friendly

Wentworth-Douglass Hospital

Acute Care Hospitals · Dover, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300018
Location789 Central AveDover, NH 03820 · Strafford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MRS. CATHY KIEM NGO CRNA
Nurse Anesthetist, Certified Registered
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Los Angeles County (323) 442-7400
DR. THOMAS ALLEN BUCHANAN M.D.
Internal Medicine
1500 SAN PABLO ST, 3 NORTH UNIVERSITY HOSPITAL
LOS ANGELES, CA 90033
Los Angeles County (323) 442-9576
DR. KASHIF TANVEER KHAN M.D.
Anesthesiology
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Los Angeles County (323) 442-7400
BARBARA LEUNG
Occupational Therapist
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Los Angeles County (800) 272-2273
MELANIE KUSONRUKSA M.D.
Anesthesiology
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Los Angeles County (323) 442-7400
KAREN KIM PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Los Angeles County (323) 442-9385
DR. SHALINI SUNIL SHAH M.D.
Anesthesiology
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Los Angeles County (714) 261-3585
TYLER DANIEL COHAN
Student in an Organized Health Care Education/Training Program
1500 SAN PABLO ST
LOS ANGELES, CA 90033
Los Angeles County (800) 872-2273

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 Nima Omid-fard's NPI number?

The NPI number for Nima Omid-fard is 1154161222. It was assigned to this individual provider in the NPPES registry on May 28, 2024.

Where is Nima Omid-fard located?

Nima Omid-fard practices at 1500 San Pablo St, Los Angeles, CA 90033. The listed phone number is (617) 726-8320.

What is Nima Omid-fard's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Nima Omid-fard enrolled in Medicare?

Yes. Nima Omid-fard 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.

Is Nima Omid-fard affiliated with any hospitals?

According to CMS data, Nima Omid-fard is affiliated with North Shore Medical Center -, Massachusetts General Hospital, Newton-Wellesley Hospital, Martha's Vineyard Hospital Inc and Wentworth-Douglass Hospital.

When was this NPI record last updated?

The NPPES record for Nima Omid-fard was last updated on August 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.