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DR. PANTEHA REZAEIAN M.D.
NPI 1295155109
Family Medicine in Los Angeles, CA

Active since April 17, 2014PECOS EnrolledAccepts Medicare Assignment
127 S. VICENTE AHSP 3106, 127 S. VICENTE BLVD, AHSP A3200-06, LOS ANGELES, CA 90048(424) 247-3658 Get Directions Write a Review

NPPES record last updated: April 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 26, 2018, Nov 13, 2017 (2 updates tracked since 2017).

About Dr. Panteha Rezaeian M.d. NPPES

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

DR. PANTEHA REZAEIAN M.D. (NPI 1295155109) is an individual family medicine provider in Los Angeles, California, licensed in California (A143802) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1295155109
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PANTEHA REZAEIANCredential: M.D.
Location Address127 S. VICENTE AHSP 3106, 127 S. VICENTE BLVD, AHSP A3200-06Los Angeles, CA 90048
Mailing Address11234 Anderson St, Gme Office Westerly Suite CLoma Linda, CA 92354-2804 · (909) 558-6688
Phone(424) 247-3658
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateApril 17, 2014
Last NPPES UpdateApril 26, 20182 updates tracked since enumeration
✔ NPI 1295155109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A143802
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 84828 (ZZ)
127 S. VICENTE AHSP 3106, Los Angeles, CA 90048
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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

Dr. Panteha Rezaeian M.d. 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 ID6709167026
PECOS Enrollment IDI20161228002303
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
459 services196 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
107 services107 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
57 services53 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
46 services41 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
17 services15 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90048 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
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Panteha Rezaeian's NPI number?

The NPI number for Panteha Rezaeian is 1295155109. It was assigned to this individual provider in the NPPES registry on April 17, 2014.

Where is Panteha Rezaeian located?

Panteha Rezaeian practices at 127 S. Vicente Ahsp 3106 127 S. Vicente Blvd, Ahsp A3200-06, Los Angeles, CA 90048. The listed phone number is (424) 247-3658.

What is Panteha Rezaeian's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Panteha Rezaeian enrolled in Medicare?

Yes. Panteha Rezaeian 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 Panteha Rezaeian was last updated on April 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.