Individual provider Active NPI

Ali Mehdizadeh, MD

  • Critical Care Medicine (Anesthesiology) Physician
  • Loma Linda, CA
National Provider Identifier
1114151719
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X
License
A113137 Issued in CA
Practice address
11234 Anderson St
House Staff Office CP 21005
Loma Linda, CA 92354-2804
Phone
(909) 558-8131
Fax
(909) 558-0430
NPI assigned
May 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X A113137 CA Primary

Addresses

Primary practice location

11234 Anderson St
House Staff Office CP 21005
Loma Linda, CA 92354-2804

Mailing address

11234 Anderson St
House Staff Office CP 21005
Loma Linda, CA 92345-2804
Phone (909) 558-8131

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
I20111010000122 CA Practitioner - AnesthesiologyPractitioner - General SurgeryPractitioner - Critical Care (Intensivists) 8224200589 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Critical Care (Intensivists)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vista Critical Care Associates IncGroup PAC ID 8729479225, 15 clinicians
Robert Marriott Medical CorpGroup PAC ID 2567531494, 63 clinicians

Practice addresses (Care Compare)

1511 W Glenoaks Blvd
Glendale, CA 91201-1912
Phone (818) 637-2200

2120 Stockton Blvd
Sacramento, CA 95817-1337
Phone (916) 452-6631

2278 Nice Ave
Mentone, CA 92359-9655
Phone (909) 794-1189

25455 Barton Rd
Suite 108a
Loma Linda, CA 92354-3139
Phone (909) 558-4000

28062 Baxter Rd
Murrieta, CA 92563-1401
Phone (909) 558-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.87 of 100Reported as group
Quality
72.13
Promoting interoperability
80
Improvement activities
40
Cost
77.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue933
Removal of skin lesions368
Removal of nail tissue1-10
Removal or shaving of skin growth71

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Specialists of California, PC Family Medicine CurrentSince May 1, 2019 Accepting new patients
Vista Critical Care Associates Inc CurrentSince Jan 1, 2022 Accepting new patients
Robert Marriott Medical Corp CurrentSince Aug 23, 2011 Accepting new patients
Faculty Physicians and Surgeons of Llusm Critical Care Medicine CurrentSince Jul 7, 2016 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Physicians' Hospital of Murrieta, LLC Past Accepting new patients
Faculty Physicians and Surgeons of Llusm Past Accepting new patients
Dignity Health Past Accepting new patients

Locations (25 of 29)

222 N Pacific Coast Hwy
Ste 2175
El Segundo, CA 90245
Phone (877) 850-8762

222 N Pacific Coast Hwy
Ste 1420
El Segundo, CA 90245

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1511 W Glenoaks Blvd
Glendale, CA 91201
Phone (818) 637-2200

11234 Anderson St
Rm 2532
Loma Linda, CA 92350
Phone (909) 558-4475

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617

11234 Anderson St
Ofc Cp
Loma Linda, CA 92350
Phone 9095584000 ext. 88131

11234 Anderson St
#A600
Loma Linda, CA 92350
Phone (909) 558-2824

11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016

1428 W North Ave
Lompoc, CA 93436
Phone (805) 735-4010

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

2278 Nice Ave
Mentone, CA 92359
Phone (909) 204-5000

28062 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

1000 Executive Pkwy
Oroville, CA 95966
Phone (530) 533-7335

751 San Pedro Terrace Rd
Pacifica, CA 94044
Phone (650) 359-4800

2225 N Perris Blvd
Perris, CA 92571
Phone (951) 657-2135

2900 Stoneridge Dr
Pleasanton, CA 94588
Phone (925) 201-4000

17050 Arnold Dr
Riverside, CA 92518
Phone (800) 697-2210

2120 Stockton Blvd
Sacramento, CA 95817
Phone (916) 452-6631

900 Mountain Ranch Rd
San Andreas, CA 95249
Phone (209) 419-0956

2580 Samaritan Dr
San Jose, CA 95124
Phone (408) 356-7002

2990 Soquel Ave
Santa Cruz, CA 95062
Phone (831) 479-6950

1321 Franklin St
Santa Monica, CA 90404
Phone (310) 828-5596

501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: amehdizadeh9269@direct.llu.edu

Organizations & group practices 9

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 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": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1114151719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11234 ANDERSON ST",
            "address_2": "HOUSE STAFF OFFICE CP 21005",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923452804",
            "telephone_number": "909-558-8131",
            "fax_number": "909-558-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11234 ANDERSON ST",
            "address_2": "HOUSE STAFF OFFICE CP 21005",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542804",
            "telephone_number": "909-558-8131",
            "fax_number": "909-558-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHDIZADEH",
        "first_name": "ALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-11",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "CA",
            "license": "A113137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.