REZA ZANE GOHARDERAKHSHAN MD
NPI 1972651883
Urology in Harbor City, CA

Q: What is Reza Goharderakhshan's NPI number?

The NPI number for Reza Goharderakhshan is 1972651883. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Q: What is Reza Goharderakhshan's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since January 08, 2007PECOS EnrolledAccepts Medicare Assignment

25825 VERMONT AVE, HARBOR CITY, CA 90710(310) 325-5111 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Reza Zane Goharderakhshan Md NPPES

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

REZA ZANE GOHARDERAKHSHAN MD (NPI 1972651883) is an individual urology provider in Harbor City, California, licensed in California (A67691) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (1994).

NPPES Registry Identity

NPI1972651883

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameREZA ZANE GOHARDERAKHSHANCredential: MD

Location Address25825 VERMONT AVEHarbor City, CA 90710-3518

Mailing Address25825 Vermont AveHarbor City, CA 90710-3518 · (310) 325-5111

Phone(310) 325-5111

Sole ProprietorNo

Medical School CMSTulane University School Of MedicineGraduated 1994

Enumeration DateJanuary 8, 2007

Last NPPES UpdateNovember 30, 2021

✔ NPI 1972651883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in CA · A67691

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

25825 VERMONT AVE, Harbor City, CA 90710

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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

Reza Zane Goharderakhshan Md 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 ID6406983568

PECOS Enrollment IDI20100421000325

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 90710 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

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

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 20

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

SEAN KOH PHARM.D.

Pharmacist