Individual provider Active NPI

Hamidreza Mirzania, MD

  • Surgery Physician
  • Bell Gardens, CA
National Provider Identifier
1154609238
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A150750 Issued in CA
Practice address
7916 Eastern Ave.
Bell Gardens, CA 90201
Phone
(714) 852-3311
Fax
(714) 617-4935
NPI assigned
Jul 24, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A150750 CA Primary

Addresses

Primary practice location

7916 Eastern Ave.
Bell Gardens, CA 90201

Mailing address

27641 Rosebud Way
Laguna Niguel, CA 92677
Phone (240) 778-5734

Other practice location 1

14331 Euclid St Ste 104
Garden Grove, CA 92843-6509
Phone (714) 852-3311

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
I20171026001870 CA Practitioner - Plastic and Reconstructive Surgery 3375786106 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
150750CAMDMarriage & Family Therapist
A150750CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Mirzania Lipocosmetic Surgery Consultant Inc Surgery CurrentSince Sep 1, 2025 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

14331 Euclid St
Ste 204
Garden Grove, CA 92843
Phone (714) 726-2375

Organizations & group practices 2

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": "1311465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1154609238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27641 ROSEBUD WAY",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "92677",
            "telephone_number": "240-778-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7916 EASTERN AVE.",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "90201",
            "telephone_number": "714-852-3311",
            "fax_number": "714-617-4935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14331 Euclid St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928436509",
            "country_code": "US",
            "telephone_number": "714-852-3311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRZANIA",
        "first_name": "HAMIDREZA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-24",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A150750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bell Gardens, CA

Sources for this page

Verify at the official NPI Registry.