Keivan Edalat, MD in Gardena, CA - Medicare Emergency Medicine

Keivan Edalat, MD is a medicare enrolled "Emergency Medicine" physician in Gardena, California. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Beach Emergency Medical Associates and his current practice location is 1145 West Redondo Beach Blvd, Gardena, California. You can reach out to his office (for appointments etc.) via phone at (310) 538-6629.

Keivan Edalat is licensed to practice in California (license number A67803) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790727162.

Contact Information

	Keivan Edalat, MD
	1145 West Redondo Beach Blvd, Gardena, CA 90247
	(310) 538-6629
	Not Available

Map and Direction

Physician's Profile

Full Name	Keivan Edalat
Gender	Male
Speciality	Emergency Medicine
Experience	32 Years
Location	1145 West Redondo Beach Blvd, Gardena, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Keivan Edalat graduated from medical school in 1992

NPI Data:

NPI Number: 1790727162
Provider Enumeration Date: 06/12/2006
Last Update Date: 05/22/2008

Medicare PECOS Information:

PECOS PAC ID: 1951392729
Enrollment ID: I20040520000633

Medical Identifiers

Medical identifiers for Keivan Edalat such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790727162	NPI	-	NPPES
00A678030	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	A67803 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Huntington Beach Hospital	Huntington beach, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Beach Emergency Medical Associates	8123120078	13

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Keivan Edalat allows following entities to bill medicare on his behalf.

Entity Name	Beach Emergency Medical Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013074996 PECOS PAC ID: 8123120078 Enrollment ID: O20070222000661

Entity Name	Redondo Emergency Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376834937 PECOS PAC ID: 9032388269 Enrollment ID: O20110804000471

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keivan Edalat is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Keivan Edalat, MD Po Box 11260, Westminster, CA 92685-1260 Ph: (562) 809-3542	Keivan Edalat, MD 1145 West Redondo Beach Blvd, Gardena, CA 90247 Ph: (310) 538-6629

Reviews and Comments

Emergency Medicine Doctors in Gardena, CA

Dr. Taylor Walsh, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1145 W Redondo Beach Blvd, Gardena, CA 90247 Phone: 310-532-4200
Miss Jaee Shrikant Tamhane, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1141 West Rendondo Beach Blvd, Ste 306, Gardena, CA 90247 Phone: 310-344-0346
Dr. Patrick L. Ignacio, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1149 W 190th St, Gardena, CA 90248 Phone: 310-324-5777 Fax: 310-324-6245
Hang T Tran, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1145 W Redondo Beach Blvd, Gardena, CA 90247 Phone: 310-538-6629
Stephani Simon Luecker, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1145 W Redondo Beach Blvd, Gardena, CA 90247 Phone: 310-538-6629
Ivy Chang, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1145 W Redondo Beach Blvd, Gardena, CA 90247 Phone: 310-538-6629

Keivan Edalat, MD - Medicare Emergency Medicine in Gardena, CA