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

Nima Momenin, MD

Individual provider Diagnostic Radiology Physician · NPI 1457616716

Nima Momenin, MD is a Diagnostic Radiology in Los Angeles, California. Qualified in 2004, 22 years ago. Practices with Choctaw Nation of Oklahoma, a 270-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
22
Licensed in
CA
In the registry since
2012
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

1500 San Pablo St Fl 2
Los Angeles, CA 90033-5313
Phone: (323) 442-8541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A161723 (CA)

Record details

NPI number1457616716
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 11, 2012
Last updated in NPPESNovember 30, 2022
Certification dateOctober 14, 2021

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Choctaw Nation Of Oklahoma — 270 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations23 on file with Medicare

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