Individual provider Active NPI

Mehdi Izadi, D.O.

  • Family Medicine Physician
  • West Hills, CA
National Provider Identifier
1235139437
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A5509 Issued in CA
Practice address
7301 Medical Center Dr. Suite 302
West Hills, CA 91307
Phone
(818) 888-3387
Fax
(818) 888-3391
NPI assigned
Jul 28, 2005
Last updated
Feb 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E49730 CA
Family Medicine Physician 207Q00000X 20A5509 CA Primary

Addresses

Primary practice location

7301 Medical Center Dr. Suite 302
West Hills, CA 91307

Mailing address

7301 Medical Center Dr. Suite 302
West Hills, CA 91307
Phone (818) 888-3387

Other identifiers 1

IdentifierTypeStateIssuer
00AX55090MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5509CAMDAddiction (Substance Use Disorder) Counselor
20A5509CAMDFamily Medicine Physician
E49730CAMDFamily Medicine Physician

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1235139437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 MEDICAL CENTER DR. SUITE 302",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "91307",
            "telephone_number": "818-888-3387",
            "fax_number": "818-888-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 MEDICAL CENTER DR. SUITE 302",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "91307",
            "telephone_number": "818-888-3387",
            "fax_number": "818-888-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZADI",
        "first_name": "MEHDI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "E49730",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX55090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.