Individual provider Active NPI

Mehrdad Hassid, M.D.

  • Family Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1245358969
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G080322 Issued in CA
Practice address
8920 Wilshire Blvd.
Suite 618
Beverly Hills, CA 90211
Phone
(310) 967-3050
Fax
(310) 967-3051
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G080322 CA Primary
Surgery Physician 208600000X G080322 CA
Plastic and Reconstructive Surgery Physician 2086S0122X G80322 CA

Addresses

Primary practice location

8920 Wilshire Blvd.
Suite 618
Beverly Hills, CA 90211

Mailing address

8920 Wilshire Blvd.
Suite 618
Beverly Hills, CA 90211
Phone (310) 967-3050

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
I20110425000772 CA Practitioner - General Practice 1759566334 Reassigns benefits to 1 organization
Practice locations: Beverly Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of California, Davis School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Medical Clinic IncGroup PAC ID 2163764093, 3 clinicians

Practice addresses (Care Compare)

124 S Glendale Ave
Glendale, CA 91205-1109
Phone (818) 696-2156

Hospital & facility affiliations

  • Inhouse Care Services, Inc Home health agency, Glendale, CA, CCN 553125
  • Crown Home Care, Inc Home health agency, Glendale, CA, CCN 559419

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80322CAMDMarriage & Family Therapist
G080322CAMDFamily Medicine Physician
G80322CAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Medical Clinic Inc CurrentSince Jun 1, 2025 Accepting new patients

Locations

124 S Glendale Ave
Glendale, CA 91205
Phone (818) 696-2156

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1245358969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8920 WILSHIRE BLVD.",
            "address_2": "SUITE 618",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90211",
            "telephone_number": "310-967-3050",
            "fax_number": "310-967-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8920 WILSHIRE BLVD.",
            "address_2": "SUITE 618",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90211",
            "telephone_number": "310-967-3050",
            "fax_number": "310-967-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSID",
        "first_name": "MEHRDAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G080322",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G080322",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "G80322",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.