DR. PEDRAM GHASRI (M.D.) – Dermatology Physician, NPI 1639429178

DR. PEDRAM GHASRI (M.D.) is a healthcare provider. based in Tarzana, California. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. CA123798 (CA). The NPI Number for DR. PEDRAM GHASRI (M.D.) is 1639429178

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. PEDRAM GHASRI (M.D.)
NPI
1639429178
Phone
(818) 344-3376
Address
18555 VENTURA BLVD
Enumeration Date
12 September 2012
Last Update Date
14 March 2024

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Secondary Phone
8183443376
Graduation Year
2011 (15 years ago)
PAC ID
5496077711
Group Practice PAC ID
2264535566
Professional Enrollment ID
I20141122000494
Address ID
CA913564192TA18555BLVD303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

2,140 DERMATOLOGY in CA

Provider Addresses for DR. PEDRAM GHASRI (M.D.)

  • 18555 VENTURA BLVD

    TARZANA, CA 913564191

    Phone: (818) 344-3376

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 293 Open Payments records for all available years, with a total value of $5,277.

Total Amount is formed as General ($5,277) + Research ($0) + Ownership ($0) = $5,277.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($701).

Total Amount

$5,277

General + Research + Ownership

Payments

293

Total payment records

General Amount

$5,277

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-11-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141122000494IDermatologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths2,694317$0
99214Established patient office or other outpatient visit, 30-39 minutes1,266699$0
Q4196Puraply am, per square centimeter1,08024$0
99213Established patient office or other outpatient visit, 20-29 minutes868475$0
17004Destruction of precancer skin growth, 15 or more growths551345$0
View full utilization report →

Insurance plans in this area (ZIP 91356)

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Provider's Procedures

DR. PEDRAM GHASRI (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYCA17003Destruction of 2-14 skin growths13251

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264535566View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
D E R M A T O L O G YCA

Reviews

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Frequently asked questions

What number should I use to identify DR. PEDRAM GHASRI (M.D.) for billing?
Administrative and clinical systems typically use NPI 1639429178 for DR. PEDRAM GHASRI (M.D.).
Is DR. PEDRAM GHASRI (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. PEDRAM GHASRI (M.D.) as active.
Which specialty label fits DR. PEDRAM GHASRI (M.D.)?
NPPES ties DR. PEDRAM GHASRI (M.D.) to Dermatology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. PEDRAM GHASRI (M.D.)?
DR. PEDRAM GHASRI (M.D.) shows a connection to Tarzana, California in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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