Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kian Raiszadeh, MD

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1013117183

Dr. Kian Raiszadeh, MD is an Orthopedic Surgery in LA Jolla, California. Qualified in 2002, 24 years ago. Practices with Dhp of California Medical Group Inc, a 14-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
24
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2725 Ridgegate Row
LA Jolla, CA 92037-0915
Phone: (201) 600-4903
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence A99221 (CA)

Record details

NPI number1013117183
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 18, 2007
Last updated in NPPESOctober 13, 2021
Certification dateOctober 13, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Dhp Of California Medical Group Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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