Individual provider Active NPI

Mehdi Hemmat, MD

  • Obstetrics & Gynecology Physician
  • San Pedro, CA
National Provider Identifier
1144319773
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A32724 Issued in CA
Practice address
1366 W 7TH St
San Pedro, CA 90732
Phone
(310) 831-1266
Fax
(310) 548-7044
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A32724 CA Primary

Addresses

Primary practice location

1366 W 7TH St
San Pedro, CA 90732

Mailing address

621 Butte St.
San Pedro, CA 90732
Phone (310) 548-1422

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mhemmat196708@oc.providencedirect.org
Direct Messaging Address mhemmat196708@oc.providencedirect.org

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
I20090202000127 CA Practitioner - Obstetrics/Gynecology 6103980495 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A32724CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Aug 1, 2010 Accepting new patients
County of Los Angeles CurrentSince Aug 1, 2010 Accepting new patients
Providence Medical Institute Obstetrics & Gynecology CurrentSince Sep 6, 2009 Accepting new patients
Providence Medical Institute Obstetrics & Gynecology CurrentSince Sep 6, 2009 Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

21501 Avalon Blvd
Ste 100
Carson, CA 90745
Phone (310) 835-6627

621 S Butte St
San Pedro, CA 90732
Phone (310) 548-1422

1499 W 1st St
San Pedro, CA 90732
Phone (310) 241-2590

20911 Earl St
Ste 440
Torrance, CA 90503
Phone (310) 419-8585

21311 Madrona Ave
Ste 101
Torrance, CA 90503
Phone (310) 792-4012

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mhemmat196708@oc.providencedirect.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1144319773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 BUTTE ST.",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "90732",
            "telephone_number": "310-548-1422",
            "fax_number": "310-548-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1366 W 7TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "90732",
            "telephone_number": "310-831-1266",
            "fax_number": "310-548-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMMAT",
        "first_name": "MEHDI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A32724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhemmat196708@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "621 S Butte St",
            "city": "San Pedro",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907323510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhemmat196708@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1499 W 1st St",
            "city": "San Pedro",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907323255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

Verify at the official NPI Registry.