REZA FARDANESH
NPI 1972763993
Radiology - Diagnostic Radiology in Los Angeles, CA

Active since June 12, 2008PECOS EnrolledAccepts Medicare Assignment
83.22/100
CMS Quality Rating
757 WESTWOOD PLZ, LOS ANGELES, CA 90095(310) 301-6800(310) 794-9035 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 21, 2021, Mar 21, 2017 (2 updates tracked since 2017).

About Reza Fardanesh NPPES

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

REZA FARDANESH (NPI 1972763993) is an individual diagnostic radiology provider in Los Angeles, California, licensed in California (A172279) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1972763993
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameREZA FARDANESH
Location Address757 WESTWOOD PLZLos Angeles, CA 90095-3725
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-5138
Fax(310) 794-9035
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 12, 2008
Last NPPES UpdateDecember 21, 20212 updates tracked since enumeration
NPPES CertifiedDecember 21, 2021
NPI 1972763993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in CA · A172279 Licensed in NY · 286765
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
757 WESTWOOD PLZ, Los Angeles, CA 90095

Other Identifiers 1

Medicaid04698564NY

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 Fardanesh 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 ID4385911379
PECOS Enrollment IDI20211202001993
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.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
3,675 services46 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
789 services789 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
777 services777 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
189 services189 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
170 services170 patients
Diagnostic mammography of 1 breast 77065
Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
88 services87 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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
$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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.26
Promoting Interoperability100
Improvement Activities40
Cost56.83

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.

Anesthesiology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Pediatrics
757 WESTWOOD PLZ, B711 RRUMC
LOS ANGELES, CA 90095
Anesthesiology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Internal Medicine
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Urology
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
757 WESTWOOD PLZ
LOS ANGELES, CA 90095

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 Reza Fardanesh's NPI number?

The NPI number for Reza Fardanesh is 1972763993. It was assigned to this individual provider in the NPPES registry on June 12, 2008.

Where is Reza Fardanesh located?

Reza Fardanesh practices at 757 Westwood Plz, Los Angeles, CA 90095. The listed phone number is (310) 301-6800.

What is Reza Fardanesh's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Reza Fardanesh enrolled in Medicare?

Yes. Reza Fardanesh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Reza Fardanesh was last updated on December 21, 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.