DR. MIKE MANSOUR ROSTAMI M.D. NPI 1720135726

NPI Information

  • NPI: 1720135726
  • Provider Name: DR. MIKE MANSOUR ROSTAMI, M.D.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1119 N WESTERN AVE STE G
    LOS ANGELES, CA
    ZIP 90029
  • Phone: (323) 957-9300

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NPI Details

DR. Mike Mansour Rostami, M.D. is a general practice in Los Angeles, CA with 45 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Mike Mansour Rostami, M.D. NPI is 1720135726. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1119 N WESTERN AVE STE G
LOS ANGELES, CA
ZIP 90029-070
Phone: (323) 957-9300
Fax: (323) 957-9315

The NPI 1720135726 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Injection, trimethobenzamide hcl, up to 200 mg (HCPCS:J3250)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Inhalation treatment for airway obstruction or sputum production (HCPCS:94640)
  • Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg (HCPCS:J7613)
  • Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg (HCPCS:J7626)
  • Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram (HCPCS:J7644)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Injection, diphenhydramine hcl, up to 50 mg (HCPCS:J1200)
  • Urinalysis, manual test (HCPCS:81002)
  • Injection, cefazolin sodium, 500 mg (HCPCS:J0690)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Injection, furosemide, up to 20 mg (HCPCS:J1940)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Complicated or multiple drainage of skin abscess (HCPCS:10061)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Placement of strapping to chest (HCPCS:29200)
  • Removal of foreign body in ear canal under anesthesia (HCPCS:69205)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Diphtheria and tetanus vaccine (7 years or older) (HCPCS:90714)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal of growth of muscle of neck or front of chest, less than 5.0 cm (HCPCS:21556)
  • Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance (HCPCS:27096)
  • Simple control of nose bleed (HCPCS:30901)
  • Assessment of and care planning for impaired thought processing, typically 50 minutes (HCPCS:99483)
  • Complicated drainage of abscess in finger (HCPCS:26011)
  • Incision of external hemorrhoid with blood clot (HCPCS:46083)
  • Removal of impacted stool or foreign body in rectum under anesthesia (HCPCS:45915)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Drainage of fluid filled sac in foot (HCPCS:28001)
  • Placement of strapping to shoulder (HCPCS:29240)
  • Drainage of deep abscess or blood accumulation of upper arm or elbow (HCPCS:23930)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • Influenza vaccine, quadrivalent derived from recombinant dna (HCPCS:90682)
  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm (HCPCS:12034)
  • Application of long leg splint from thigh to ankle or toe (HCPCS:29505)
  • Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 5.1-7.5 cm (HCPCS:12053)
  • Drainage of blood or fluid accumulation (HCPCS:10140)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Removal of growth under skin of pelvis and hip, less than 3.0 cm (HCPCS:27047)
  • Placement of strapping to ankle or foot (HCPCS:29540)
  • Removal of foreign body from tissue, accessed beneath the skin, simple (HCPCS:10120)
  • Removal of foreign body of foot tissue, deep (HCPCS:28192)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 1/4/2007 and was last updated on 9/24/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeA50108CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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