NPIMap

Individual provider Active NPI

Dharmesh Mehta, MD

  • Interventional Pain Medicine Physician
  • Covina, CA
National Provider Identifier
1114980760
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
C52522 Issued in CA
Practice address
236 W College St
Covina, CA 91723-1902
Phone
(626) 608-7320
Fax
(626) 608-7322
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 036116929 IL
Pain Medicine (Anesthesiology) Physician 207LP2900X C52522 CA
Interventional Pain Medicine Physician 208VP0014X C52522 CA Primary

Addresses

Primary practice location

236 W College St
Covina, CA 91723-1902

Mailing address

PO Box 209
Covina, CA 91723-0209
Phone (626) 608-7320

Other identifiers 1

IdentifierTypeStateIssuer
C52522OtherCAMEDICAL LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080108000567 CA Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 8527052711 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Foothills Pain Management Clinic PCGroup PAC ID 5698828101, 9 clinicians

Practice addresses (Care Compare)

554 E San Bernardino Rd
Suite 200
Covina, CA 91723-1749
Phone (626) 379-3181

9120 Haven Ave
Suite 202
Rancho Cucamonga, CA 91730-5413
Phone (626) 608-7320

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.8 of 100Reported as group
Quality
100
Improvement activities
40
Cost
65.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52522CAMDPharmacist
C52522CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Pain Management Clinic PC Pain Medicine CurrentSince May 4, 2009 Accepting new patients
Monarch Vital Care Medical Group Inc. Interventional Pain Medicine CurrentSince May 28, 2025 Accepting new patients
Emanate Pain Management Medical Group PC Interventional Pain Medicine CurrentSince Apr 6, 2024 Accepting new patients
Ghods Inc Neurology CurrentSince Mar 1, 2025 Accepting new patients
Casa Colina Hospital and Centers for Healthcare Interventional Pain Medicine Current Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
San Dimas Community Hospital, Inc. Past Accepting new patients
White Memorial Medical Center Interventional Pain Medicine Past Accepting new patients
Emanate Health Medical Center Interventional Pain Medicine Past Accepting new patients
Western Pennsylvania Anesthesia Associates, LTD. Pain Medicine Past Accepting new patients
Kris J Storkersen M D Inc PastSince Mar 29, 2020 Accepting new patients

Locations

554 E San Bernardino Rd
Ste 200
Covina, CA 91723
Phone (626) 379-3181

236 W College St
Covina, CA 91723
Phone (626) 732-2200

1234 Foothill Blvd
La Verne, CA 91750
Phone (909) 596-4879

1828 E Cesar E Chavez Ave
Ste 6200
Los Angeles, CA 90033
Phone (213) 328-0819

955 Carrillo Dr
Ste 300
Los Angeles, CA 90048
Phone (424) 258-0124

1086 S Fairfax Ave
Los Angeles, CA 90019
Phone (424) 258-0124

1828 E Cesar E Chavez Ave
Ste 4500
Los Angeles, CA 90033
Phone (323) 352-3000

1828 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 793-9562

2895 N Towne Ave
Pomona, CA 91767
Phone (909) 267-7495

9120 Haven Ave
Ste 202
Rch Cucamonga, CA 91730
Phone (909) 803-0647

6216 Brockton Ave
Ste 213
Riverside, CA 92506
Phone (909) 450-0369

1310 San Bernardino Rd
Ste 101
Upland, CA 91786
Phone (909) 267-7495

767 S Sunset Ave
Ste 3
West Covina, CA 91790
Phone (626) 338-8409

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dharmeshmehta@fpmc.allscriptsdirect.net
  • Direct secure messaging: casacolina@direct.casacolina.org

Organizations & group practices 11

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 10

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1114980760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 209",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917230209",
            "telephone_number": "626-608-7320",
            "fax_number": "626-608-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 W COLLEGE ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231902",
            "telephone_number": "626-608-7320",
            "fax_number": "626-608-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "DHARMESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036116929",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "C52522",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "C52522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "C52522",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.