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

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Keivan Edalat, MD is a medicare enrolled "Emergency Medicine" physician in Gardena, California. He graduated from medical school in 1992 and has 33 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Beach Emergency Medical Associates, Can Emergency Physicians Medical Group Inc 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 NameKeivan Edalat
GenderMale
SpecialityEmergency Medicine
Experience33 Years
Location1145 West Redondo Beach Blvd, Gardena, California
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1790727162NPI-NPPES
00A678030MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine A67803 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Huntington Beach HospitalHuntington beach, CAHospital
Foothill Regional Medical CenterTustin, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Beach Emergency Medical Associates812312007813
Can Emergency Physicians Medical Group Inc882030446248

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 NameBeach Emergency Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013074996
PECOS PAC ID: 8123120078
Enrollment ID: O20070222000661
Entity NameRedondo Emergency Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376834937
PECOS PAC ID: 9032388269
Enrollment ID: O20110804000471
Entity NameCan Emergency Physicians Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265810006
PECOS PAC ID: 8820304462
Enrollment ID: O20150827002595

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 AddressPractice 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: May Accept Medicare Assignments
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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.