Individual provider Active NPI

Mehdi Habibi, M.D.

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1083759997
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A39878 Issued in CA
Practice address
1300 N. Vermont Ave., Suite 504
Los Angeles, CA 90027
Phone
(323) 665-4690
Fax
(323) 665-8637
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A39878 CA Primary

Addresses

Primary practice location

1300 N. Vermont Ave., Suite 504
Los Angeles, CA 90027

Mailing address

1300 N. Vermont Ave., Suite 504
Los Angeles, CA 90027
Phone (323) 665-4690

Other identifiers 1

IdentifierTypeStateIssuer
00A398780MedicaidCA

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
I20100203000228 CA Practitioner - Neurosurgery 3678616349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1300 N Vermont Ave
Suite 504
Los Angeles, CA 90027-6087
Phone (323) 665-4690

Hospital & facility affiliations

  • Hollywood Presbyterian Medical Center Hospital, Los Angeles, CA, CCN 050063

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion28
Laminectomy or laminotomy (partial removal of spine bones)19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A39878CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mehdi Habibi, MD, Inc. Neurological Surgery CurrentSince Jan 1, 1973 Accepting new patients
Dignity Community Care Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
Dignity Community Care Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients

Locations

1300 N Vermont Ave
Ste 701
Los Angeles, CA 90027
Phone (323) 661-0772

1300 N Vermont Ave
Ste 504
Los Angeles, CA 90027
Phone (323) 665-4690

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1083759997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N. VERMONT AVE., SUITE 504",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90027",
            "telephone_number": "323-665-4690",
            "fax_number": "323-665-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N. VERMONT AVE., SUITE 504",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90027",
            "telephone_number": "323-665-4690",
            "fax_number": "323-665-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABIBI",
        "first_name": "MEHDI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A39878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A398780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.