Active NPI
Masoud Mehraban, M.D.
- Family Medicine Physician
- Westminster, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A106180
- Practice address
- 15464 Goldenwest St
Westminster, CA 92683-6149 - Phone
- (714) 891-9008
- NPI assigned
- Jul 27, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A106180 | CA | Primary |
Addresses
Primary practice location
15464 Goldenwest St
Westminster, CA 92683-6149
Mailing address
15464 Goldenwest St
Westminster, CA 92683-6149
Phone (714) 891-9008
Other practice location 1
315 East 13th street
Mercy Medical Center
Merced, CA 95340
Phone (209) 385-7060
Other names 1
- Masoud Hassani Mehraban
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.17 of 100
- Quality
- 81.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.64
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A106180 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorialcare Medical Foundation | Family Medicine | Current | Accepting new patients |
| Dignity Health | Past | Accepting new patients | |
| Bristol Park Medical Group, Inc | Family Medicine | Past | Accepting new patients |
Locations
722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300
17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592
17762 Beach Blvd
Ste 100
Huntington Beach, CA 92647
Phone (714) 848-0080
9122 Adams Ave
Huntington Beach, CA 92646
Phone (714) 378-0900
15464 Goldenwest St
Westminster, CA 92683
Phone (714) 891-9008
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- mmehraban462170@direct.memorialcare.org
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1043266760
-
- General Acute Care Hospital
- Merced, CA
- NPI 1518018191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519603200000",
"number": "1225269129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15464 GOLDENWEST ST",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926836149",
"telephone_number": "714-891-9008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15464 GOLDENWEST ST",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926836149",
"telephone_number": "714-891-9008"
}
],
"practiceLocations": [
{
"address_1": "315 East 13th street",
"address_2": "Mercy Medical Center",
"address_purpose": "LOCATION",
"city": "Merced",
"state": "CA",
"postal_code": "95340",
"country_code": "US",
"telephone_number": "209-385-7060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEHRABAN",
"first_name": "MASOUD",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-27",
"last_updated": "2018-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A106180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MASOUD",
"last_name": "HASSANI MEHRABAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Westminster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.