MITRA RAJABI NP
NPI 1710674106
Nurse Practitioner - Family in Los Angeles, CA

Q: What is Mitra Rajabi's NPI number?

The NPI number for Mitra Rajabi is 1710674106. It was assigned to this individual provider in the NPPES registry on April 18, 2023. The provider is also known as Mitra Enders Np.

Q: What is Mitra Rajabi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mitra Rajabi was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since April 18, 2023PECOS Enrolled

955 CARRILLO DR STE 300, LOS ANGELES, CA 90048(424) 258-0124 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mitra Rajabi Np NPPES

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

MITRA RAJABI NP (NPI 1710674106) is an individual family provider in Los Angeles, California, licensed in California (95024823) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710674106

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMITRA RAJABICredential: NP

Location Address955 CARRILLO DR STE 300Los Angeles, CA 90048-5475

Mailing Address955 Carrillo Dr Ste 300Los Angeles, CA 90048-5475 · (424) 258-0124 · Fax (310) 602-6515

Phone(424) 258-0124

Sole ProprietorNo

Enumeration DateApril 18, 2023

Last NPPES UpdateOctober 16, 2025

NPPES CertifiedOctober 16, 2025

✔ NPI 1710674106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95024823

955 CARRILLO DR STE 300, Los Angeles, CA 90048

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Other Names 1

Former Name (1)Mitra Enders Np

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mitra Rajabi Np 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.

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.

Other Providers at the Same Location NPPES 6

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

KARLIE MACK

Nurse Practitioner (Family)