Doctor profile · Federal record
Dr. Reza Fardanesh
Diagnostic Radiology Physician (CMS: Diagnostic Radiology) · Diagnostic Radiology Physician · Student in an Organized Health Care Education/Training Program · Los Angeles, CA
- NPI 1972763993
- Accepts Medicare
- MIPS 74.0 / 100 · 2023
- 20 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
757 Westwood Plz
Los Angeles, CA 900953725
(310) 301-6800
fax (310) 794-9035 - Mailing address
-
5767 W Century Blvd Ste 400
Los Angeles, CA 900455631
Credentials & registration
- NPI registered
- June 2008 — 18 yrs on file
- Profile last updated
- December 21, 2021
- Year of graduation
- 2006 — 20 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State licenses (2)
- California #A172279 · New York #286765
- Medicaid
- NY #04698564
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1972763993. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
4,333
Distinct HCPCS
10
Medicare allowed
$190,134
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
A9585 |
Injection, gadobutrol, 0.1 ml | 2,208 | 28 | $0 | |
77067 |
Screening mammography | 541 | 541 | $150 | |
77063 |
Screening 3d breast mammography | 530 | 530 | $59 | |
71045 |
X-ray of chest, 1 view | 219 | 191 | $9 | |
77067 |
Screening mammography | 160 | 160 | $39 | |
77063 |
Screening 3d breast mammography | 154 | 154 | $31 | |
76642 |
Limited ultrasound scan of 1 breast | 67 | 67 | $107 | |
77065 |
Diagnostic mammography of 1 breast | 67 | 65 | $143 | |
71046 |
X-ray of chest, 2 views | 62 | 61 | $39 | |
76642 |
Limited ultrasound scan of 1 breast | 61 | 61 | $41 |
In context: peer comparison
Among 177 peers in this city , average services per provider: 296. This provider delivers 15× the peer median.Open Payments
Industry payments received
All-time total
$1,677
Transactions
6
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Elucent Medical | 4 | $1,630.04 | |
| Siemens Medical Solutions USA, Inc. | 2 | $47.35 |
By nature of payment
Frequently asked questions
What is Dr. Reza Fardanesh's medical specialty?
Dr. Reza Fardanesh practices Diagnostic Radiology Physician in Los Angeles, CA.
Where does Dr. Reza Fardanesh practice?
Dr. Reza Fardanesh practices at 757 Westwood Plz, Los Angeles, CA 900953725. Office phone: 3103016800.
What is Dr. Reza Fardanesh's NPI?
Dr. Reza Fardanesh's National Provider Identifier (NPI) is 1972763993, issued by NPPES.
Does Dr. Reza Fardanesh accept Medicare assignment?
Yes. Dr. Reza Fardanesh accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Reza Fardanesh commonly perform?
Top Medicare-reported procedures in 2023: Injection, gadobutrol, 0.1 ml (HCPCS A9585); Screening mammography (HCPCS 77067); Screening 3d breast mammography (HCPCS 77063). Source: CMS Medicare Physician & Other Practitioners file.