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DR. MANDANA RASTEGAR M.D.
NPI 1871753178
Internal Medicine - Nephrology in Los Angeles, CA

Active since June 11, 2008PECOS Enrolled
11301 WILSHIRE BLVD BLDG 500 6N, RM 6029, LOS ANGELES, CA 90073(310) 560-8949 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mandana Rastegar M.d. NPPES

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

DR. MANDANA RASTEGAR M.D. (NPI 1871753178) is an individual nephrology provider in Los Angeles, California, licensed in California (107887) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871753178
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. MANDANA RASTEGARCredential: M.D.
Location Address11301 WILSHIRE BLVD BLDG 500 6N, RM 6029Los Angeles, CA 90073
Mailing Address11301 Wilshire Blvd Bldg 500 6n, Rm 6029Los Angeles, CA 90073 · (310) 560-8949
Phone(310) 560-8949
Sole ProprietorYes
Enumeration DateJune 11, 2008
Last NPPES UpdateFebruary 6, 2025
NPPES CertifiedFebruary 6, 2025
✔ NPI 1871753178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CA · 107887
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 050992 (CT)
11301 WILSHIRE BLVD BLDG 500 6N, RM 6029, Los Angeles, CA 90073
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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 (PECOS)

Dr. Mandana Rastegar 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90073 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
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 Mandana Rastegar's NPI number?

The NPI number for Mandana Rastegar is 1871753178. It was assigned to this individual provider in the NPPES registry on June 11, 2008.

Where is Mandana Rastegar located?

Mandana Rastegar practices at 11301 Wilshire Blvd Bldg 500 6N, Rm 6029, Los Angeles, CA 90073. The listed phone number is (310) 560-8949.

What is Mandana Rastegar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Mandana Rastegar enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mandana Rastegar was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.