Jaaneali Mehdi MD Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

JAANEALI MEHDI MD INC

Practice address

1501 Claus Rd
Modesto, CA 95355-9711

Phone

(209) 557-6310

NPI assigned

Mar 19, 2020

Organization subpart

No

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

Authorized official

Name

Jaaneali Mehdi, MDNPI 1104071885

Title

Owner

Phone

(606) 939-2621

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaaneali Mehdi, M.D.

  • Psychiatry Physician
  • Modesto, CA
  • NPI 1104071885

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1124654348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 STANDIFORD AVE STE F",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501159",
            "telephone_number": "209-579-5628",
            "fax_number": "209-579-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 CLAUS RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953559711",
            "telephone_number": "209-557-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAANEALI MEHDI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "MEHDI",
        "authorized_official_first_name": "JAANEALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-939-2621",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CA MEDICAL BOARD",
            "identifier": "C156559",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gayle Patricia Ivy, RN
• Eric Iwata
• Sherin Hamdul Izchi
• Cheyanne Izquierdo, B.A
• J. Michael Boyd, D.D.S., Inc.
• Alexis Camille Bulandos Jaballas, OD
• R Marvin Jabola, MD
• John James Jacisin, M.D.
• Jack R Morris Chiropractic Corp
• Jackie T. Chan, M.D., Inc.

• All providers in Modesto, CA
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.