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MANDANA GHAHREMANI M.D.
NPI 1366865008
Specialist in West Hollywood, CA

Active since January 31, 2014PECOS Enrolled
9201 W SUNSET BLVD STE 500, WEST HOLLYWOOD, CA 90069(310) 278-7590(310) 278-7599 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mandana Ghahremani M.d. NPPES

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

MANDANA GHAHREMANI M.D. (NPI 1366865008) is an individual specialist in West Hollywood, California, licensed in California (A123004) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366865008
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMANDANA GHAHREMANICredential: M.D.
Location Address9201 W SUNSET BLVD STE 500West Hollywood, CA 90069-3706
Mailing Address9201 W Sunset Blvd Ste 500West Hollywood, CA 90069-3706 · (310) 278-7590 · Fax (310) 278-7599
Phone(310) 278-7590
Fax(310) 278-7599
Sole ProprietorNo
Enumeration DateJanuary 31, 2014
Last NPPES UpdateDecember 8, 2021
✔ NPI 1366865008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A123004
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.
9201 W SUNSET BLVD STE 500, West Hollywood, CA 90069
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mandana Ghahremani 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 Reassignments

2

Medicare enrollment records show Mandana Ghahremani reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group
3.7 mi
Health Maintenance Organization
6041 CADILLAC AVE
Los Angeles, CA 90034
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1043242563 (323) 857-2000
Permanente Medical Group Inc
302 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

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

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

EZRA KEST, M.D., A PROFESSIONAL CORPORATION
Dermatology
9201 W SUNSET BLVD STE 500
LOS ANGELES, CA 90069
Los Angeles County (310) 276-1252

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 Mandana Ghahremani's NPI number?

The NPI number for Mandana Ghahremani is 1366865008. It was assigned to this individual provider in the NPPES registry on January 31, 2014.

Where is Mandana Ghahremani located?

Mandana Ghahremani practices at 9201 W Sunset Blvd Ste 500, West Hollywood, CA 90069. The listed phone number is (310) 278-7590.

What is Mandana Ghahremani's specialty?

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

Is Mandana Ghahremani enrolled in Medicare?

Yes. Mandana Ghahremani is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mandana Ghahremani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mandana Ghahremani reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Los Angeles, CA) and Permanente Medical Group Inc (Santa Clara, CA). Each 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 Mandana Ghahremani'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 Mandana Ghahremani was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.