MEDICARE: DR. FERESHTEH HAJSADEGHI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	125063271	IL
2	2085R0202X	Diagnostic Radiology Physician	A137974	CA
3	207U00000X	Nuclear Medicine Physician	A137974	CA

General Provider Information

NPI Number	:	1588004634
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FERESHTEH HAJSADEGHI MD

Provider Business Mailing Address
First Line	:	20757 BERMUDA ST
Second Line	:
City	:	CHATSWORTH
State	:	CA
Zip	:	91311-1502
Country	:	US
Telephone Number	:	562-852-0099
Fax Number	:

Provider Business Practice Location Address
First Line	:	23206 LYONS AVE STE 209
Second Line	:
City	:	SANTA CLARITA
State	:	CA
Zip	:	91321-2672
Country	:	US
Telephone Number	:	562-852-0099
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2013
Last Update Date	:	06/03/2025

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