REZA FARDANESH
NPI 1972763993
Radiology - Diagnostic Radiology in Los Angeles, CA
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
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
10Medicare enrollment records show Reza Fardanesh reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90025
- Reassigned Medicare billing, California enrollment
- 372 clinicians in this Medicare group
Los Angeles, CA 90048
- Reassigned Medicare billing, California enrollment
- 2,118 clinicians in this Medicare group
Los Angeles, CA 90059
- Reassigned Medicare billing, California enrollment
- 554 clinicians in this Medicare group
Palm Desert, CA 92260
- Reassigned Medicare billing, California enrollment
- 278 clinicians in this Medicare group
Basking Ridge, NJ 07920
- Reassigned Medicare billing, New Jersey enrollment
- 385 clinicians in this Medicare group
Middletown, NJ 07748
- Reassigned Medicare billing, New Jersey enrollment
- 464 clinicians in this Medicare group
Montvale, NJ 07645
- Reassigned Medicare billing, New Jersey enrollment
- 401 clinicians in this Medicare group
New York, NY 10019
- Reassigned Medicare billing, New York enrollment
- 232 clinicians in this Medicare group
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 302 clinicians in this Medicare group
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 59 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
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.
Which organizations bill Medicare for Reza Fardanesh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Reza Fardanesh reassigns Medicare benefits to 10 organizations: Beverly Radiology Medical Group III (Los Angeles, CA), Cedars-Sinai Medical Care Foundation (Los Angeles, CA), Martin Luther King Jr Community Medical Foundation (Los Angeles, CA), Desert Advanced Imaging Medical Center (Palm Desert, CA), Memorial Sloan Kettering Cancer Center At Basking Ridge New Jersey (Basking Ridge, NJ) and 5 more organizations, listed in the Medicare section above. 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 Reza Fardanesh'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 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.
# Reza Fardanesh · NPI 1972763993
Diagnostic Radiology physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since June 12, 2008.
## Identity
- **NPI:** 1972763993 (Entity type: Individual)
- **Enumerated:** June 12, 2008
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** A172279 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 757 WESTWOOD PLZ, Los Angeles, CA 90095-3725
- **Phone:** (310) 301-6800 · **Fax:** (310) 794-9035
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Beverly Radiology Medical Group III (NPI 1962457812, Los Angeles, CA); Cedars-Sinai Medical Care Foundation (NPI 1043826720, Los Angeles, CA); Martin Luther King Jr Community Medical Foundation (NPI 1356899777, Los Angeles, CA); Desert Advanced Imaging Medical Center (NPI 1568416147, Palm Desert, CA); Memorial Sloan Kettering Cancer Center At Basking Ridge New Jersey (NPI 1184637886, Basking Ridge, NJ); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** December 21, 2021
- **Other identifiers:** Medicaid 04698564 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1972763993) · Data from the CMS NPPES public registry.