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

Reza Fardanesh

Individual provider Diagnostic Radiology Physician · NPI 1972763993

Reza Fardanesh is a Diagnostic Radiology in Los Angeles, California. Qualified in 2006, 20 years ago. Practices with Beverly Radiology Medical Group III, a 330-clinician group and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
20
Licensed in
CA, NY
In the registry since
2008
Specialties on file
3
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Practice location Address checks out

757 Westwood Plz
Los Angeles, CA 90095-3725
Phone: (310) 301-6800
Fax: (310) 794-9035
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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 A172279 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 286765 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1972763993
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 12, 2008
Last updated in NPPESDecember 21, 2021
Certification dateDecember 21, 2021

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Beverly Radiology Medical Group Iii — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations17 on file with Medicare

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