Individual provider Active NPI

Mehrdad Vaziri, CRNA

  • Certified Registered Nurse Anesthetist
  • Lancaster, PA
National Provider Identifier
1073577896
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN568878 Issued in PA
Practice address
555 N Duke St
Lancaster, PA 17602-2250
Phone
(717) 544-5511
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN568878 PA Primary

Addresses

Primary practice location

555 N Duke St
Lancaster, PA 17602-2250

Mailing address

555 N Duke St
Lancaster, PA 17602-2250
Phone (717) 544-5511

Other identifiers 8

IdentifierTypeStateIssuer
7846522OtherPAAETNA-NON HMO
P00288387OtherPARR MEDICARE
001783285OtherPAHIGHMARK
1150129OtherPAAETNA-HMO
50058185OtherPACAPITAL BLUE CROSS
106615OtherPAGEISINGER
2620650000OtherPAINDEPENDENCE BLUE CROSS
50058185OtherPAKEYSTONE HEALTH PLAN CENTRAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210318000535 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123042066 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orange County Digestive Anesthesia, Inc.Group PAC ID 9830582675, 3 clinicians
Amsurg Arcadia Anesthesia LPGroup PAC ID 7214199850, 7 clinicians

Practice addresses (Care Compare)

2621 S Bristol St
Suite 202
Santa Ana, CA 92704-5718
Phone (657) 900-4536

488 E Santa Clara St
Suite 102
Arcadia, CA 91006-7230
Phone (626) 359-9555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Premiercare Anesthesia Fountain Valley Inc CurrentSince Apr 1, 2021 Accepting new patients
Amsurg Arcadia Anesthesia LP CurrentSince Aug 14, 2021 Accepting new patients
Lanaster General Hospital Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2020 Accepting new patients
Orange County Digestive Anesthesia, Inc. CurrentSince Mar 13, 2024 Accepting new patients
Glendora Anesthesia Associates LP Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2025 Accepting new patients
Temecula Ca United Surgery Center LP CurrentSince May 15, 2021 Accepting new patients
Temecula Ca United Surgery Center, LP CurrentSince May 15, 2021 Accepting new patients
Temecula Ca Endoscopy ASC LP Current Accepting new patients
Temecula Ca Endoscopy ASC LP CurrentSince May 15, 2021 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. Past Accepting new patients
Olney Endoscopy Center Past Accepting new patients
Anesthesia East Inc Past Accepting new patients
Westwyo Services LP PastSince May 1, 2015 Accepting new patients
Northern Chesapeake Anesthesia Associates Past Accepting new patients

Locations

488 E Santa Clara St
Ste 102
Arcadia, CA 91006
Phone (626) 359-9555

17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200

1794 S Barranca Ave
Glendora, CA 91740
Phone (626) 858-4600

25150 Hancock Ave
Ste 208
Murrieta, CA 92562
Phone (951) 698-8805

2621 S Bristol St
Ste 202
Santa Ana, CA 92704
Phone (657) 900-4536

31469 Rancho Pueblo Rd
Ste 100
Temecula, CA 92592
Phone (951) 249-5540

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

133 E Frederick St
Lancaster, PA 17602
Phone (717) 394-9821

Organizations & group practices 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1073577896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022250",
            "telephone_number": "717-544-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022250",
            "telephone_number": "717-544-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZIRI",
        "first_name": "MEHRDAD",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN568878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-NON HMO",
            "identifier": "7846522",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00288387",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "001783285",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-HMO",
            "identifier": "1150129",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50058185",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "106615",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2620650000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN CENTRAL",
            "identifier": "50058185",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.