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SARA AGHAMOHAMMADI
NPI 1417368804
Pediatrics - Pediatric Critical Care Medicine in Los Angeles, CA

Active since May 19, 2014PECOS Enrolled
4650 W SUNSET BLVD # MS 3, LOS ANGELES, CA 90027(323) 361-5918(323) 361-1001 Get Directions Write a Review

NPPES record last updated: May 19, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sara Aghamohammadi NPPES

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

SARA AGHAMOHAMMADI (NPI 1417368804) is an individual pediatric critical care medicine provider in Los Angeles, California, licensed in California (A112475) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417368804
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameSARA AGHAMOHAMMADI
Location Address4650 W SUNSET BLVD # MS 3Los Angeles, CA 90027-6062
Mailing Address10535 Wilshire Blvd Apt D09Los Angeles, CA 90024-4514 · (310) 903-8652 · Fax (323) 361-1001
Phone(323) 361-5918
Fax(323) 361-1001
Sole ProprietorNo
Enumeration DateMay 19, 2014
✔ NPI 1417368804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in CA · A112475
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
4650 W SUNSET BLVD # MS 3, Los Angeles, CA 90027
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Other Names 1

Other Name (5)Sara Aghamohamadi Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sara Aghamohammadi 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 Sara Aghamohammadi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regents Of The Univ Of Ca
354 mi
Clinical Child & Adolescent
2825 50TH ST
Sacramento, CA 95817
  • Reassigned Medicare billing, California enrollment
  • 2,570 clinicians in this Medicare group
NPI 1447423959 (916) 703-0315
Shriners Hospitals For Children
354 mi
Pediatric Orthopaedic Surgery
2425 STOCKTON BLVD
Sacramento, CA 95817
  • Reassigned Medicare billing, California enrollment
  • 105 clinicians in this Medicare group
NPI 1679915565 (916) 453-2000

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

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 Sara Aghamohammadi's NPI number?

The NPI number for Sara Aghamohammadi is 1417368804. It was assigned to this individual provider in the NPPES registry on May 19, 2014. The provider is also known as Sara Aghamohamadi MD.

Where is Sara Aghamohammadi located?

Sara Aghamohammadi practices at 4650 W Sunset Blvd # Ms 3, Los Angeles, CA 90027. The listed phone number is (323) 361-5918.

What is Sara Aghamohammadi's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Sara Aghamohammadi enrolled in Medicare?

Yes. Sara Aghamohammadi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sara Aghamohammadi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Aghamohammadi reassigns Medicare benefits to 2 organizations: Regents Of The Univ Of Ca (Sacramento, CA) and Shriners Hospitals For Children (Sacramento, 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 Sara Aghamohammadi'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 Sara Aghamohammadi was last updated on May 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.