Mahindokht Mary Raiszadeh, M.D.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

A34656 Issued in CA

Practice address

5222 Balboa Ave
Ste 45
San Diego, CA 92117-6904

Phone

(858) 616-6430

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Dr Jaiswals Medical Center PC

  • Primary Care Clinic/Center
  • San Diego, CA
  • NPI 1396279113
  NPD (past)
• Elahe Toulouie MD Inc

  • Internal Medicine Physician
  • El Cajon, CA
  • NPI 1770689382
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1194898064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5222 BALBOA AVE",
            "address_2": "STE 45",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176904",
            "telephone_number": "858-616-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5222 BALBOA AVE",
            "address_2": "STE 45",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176904",
            "telephone_number": "858-616-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAISZADEH",
        "first_name": "MAHINDOKHT",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "A34656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A346561",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Rainsford, OTR
• Arianna Raiola
• Ajit B Raisinghani, M.D.
• Farshad Raissi Shabari, M.D., M.P.H.
• Kamshad Raiszadeh, M.D.
• Ramin Raiszadeh, M.D.
• Raj Ukani D.D.S. Inc.
• Barath Kannan Raj
• Subathra Raj, MD
• Katherine Maria Raja, MD

• Legal Medicine in San Diego, CA
• Providers in San Diego, CA by specialty
• Legal Medicine in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.