Individual provider Active NPI

Ramin Mehdian, M.D.

  • Pulmonary Disease Physician
  • Newbury Park, CA
National Provider Identifier
1053457127
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A62908 Issued in CA
Practice address
1000 Newbury Rd
Suite 275
Newbury Park, CA 91320-6435
Phone
(805) 499-4143
Fax
(805) 499-4160
NPI assigned
Jan 29, 2007
Last updated
Feb 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A62908 CA
Pulmonary Disease Physician 207RP1001X A62908 CA Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X A62908 CA

Addresses

Primary practice location

1000 Newbury Rd
Suite 275
Newbury Park, CA 91320-6435

Mailing address

PO Box 77790
Corona, CA 92877-0126
Phone (951) 278-5590

Other practice location 1

227 W Janss Rd Ste 125
Thousand Oaks, CA 91360-1856
Phone (951) 278-5590 ext. 106

Other identifiers 1

IdentifierTypeStateIssuer
00A629080MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090209000611 CA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 9335204221 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine, Sleep Medicine
Education
New York Medical College, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1000 Newbury Rd
Suite 275
Newbury Park, CA 91320-6445
Phone (805) 499-4143

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.89 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
77.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A62908CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Sleep Medicine Services Inc CurrentSince May 1, 2009 Accepting new patients
Sunset Sleep Labs LLC CurrentSince Jan 1, 2022 Accepting new patients
Intensive Care Medical Specialists Inc Critical Care Medicine CurrentSince May 21, 2016 Accepting new patients
Ramin Mehdian Medical Corporation CurrentSince Oct 1, 2017 Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients
Duc Nguyen MD Corp Pulmonary Disease Past Accepting new patients

Locations

1000 Newbury Rd
Ste 275
Newbury Park, CA 91320
Phone (805) 499-4143

1177 Roadrunner Way
Simi Valley, CA 93065
Phone (805) 520-1577

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1053457127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77790",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928770126",
            "telephone_number": "951-278-5590",
            "fax_number": "951-272-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NEWBURY RD",
            "address_2": "SUITE 275",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206435",
            "telephone_number": "805-499-4143",
            "fax_number": "805-499-4160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "227 W Janss Rd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913601856",
            "country_code": "US",
            "telephone_number": "951-278-5590 x106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHDIAN",
        "first_name": "RAMIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A62908",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A62908",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "A62908",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A629080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury Park, CA

Sources for this page

Verify at the official NPI Registry.