Active NPI
Mohammed Miradi MD Inc
- Infectious Disease Physician
- La Mesa, CA
National Provider Identifier
1033326889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- A53125
- Legal business name
- MOHAMMED MIRADI MD INC
- Practice address
- 5565 Grossmont Center Dr
Ste 211
La Mesa, CA 91942-3020 - Phone
- (619) 644-1483
- NPI assigned
- May 17, 2007
- Last updated
- Mar 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mohammed Miradi, M.D.
- Title
- President
- Phone
- (619) 644-1483
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | A53125 | CA | Primary |
Addresses
Primary practice location
5565 Grossmont Center Dr
Ste 211
La Mesa, CA 91942-3020
Mailing address
PO Box 2353
La Mesa, CA 91943-2353
Phone (619) 644-1483
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Infectious Disease Physician
- La Mesa, CA
- NPI 1225077654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1033326889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2353",
"city": "LA MESA",
"state": "CA",
"postal_code": "919432353",
"telephone_number": "619-644-1483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5565 GROSSMONT CENTER DR",
"address_2": "STE 211",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423020",
"telephone_number": "619-644-1483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOHAMMED MIRADI MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-17",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "MIRADI",
"authorized_official_first_name": "MOHAMMED",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "619-644-1483",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "A53125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.