Individual provider Active NPI

Sepi Mahooti, M.D.

  • Cytopathology Physician
  • San Diego, CA
National Provider Identifier
1245446228
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cytopathology PhysicianTaxonomy code 207ZC0500X
License
A109898 Issued in CA
Practice address
13922 Mennonite PT
San Diego, CA 92129-3134
Phone
(203) 506-7862
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 35.089487 OH
Cytopathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZC0500X A109898 CA Primary
Cytopathology Physician 207ZC0500X 35.089487 OH

Addresses

Primary practice location

13922 Mennonite PT
San Diego, CA 92129-3134

Mailing address

13922 Mennonite PT
San Diego, CA 92129-3134
Phone (203) 506-7862

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
I20091217000260 CA Practitioner - Pathology 7012057300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Healthcare Partners PCGroup PAC ID 2163606807, 232 clinicians

Practice addresses (Care Compare)

50 Alessandro PL
Suite 440
Pasadena, CA 91105-3146
Phone (626) 808-4772

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A109898CAMDCytopathology Physician
35.089487OHMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Healthcare Partners PC Specialist CurrentSince Dec 29, 2016 Accepting new patients
Scripps Health Current Accepting new patients
Urology Institute of the South Bay Single Specialty Current Accepting new patients
Skyline Urology Specialist Current Accepting new patients
Scripps Health Past Accepting new patients

Locations

201 S Buena Vista St
Ste 410
Burbank, CA 91505
Phone (818) 845-3773

9850 Genesee Ave
Ste 440
La Jolla, CA 92037
Phone (858) 453-5944

50 Alessandro Pl
Ste 440
Pasadena, CA 91105
Phone (626) 440-9190

9853 Pacific Heights Blvd
Ste B
San Diego, CA 92121
Phone (858) 888-7700

16835 W Bernardo Dr
Ste 212
San Diego, CA 92127
Phone (858) 810-7280

23600 Telo Ave
Ste 220
Torrance, CA 90505
Phone (310) 534-8400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: smahooti81291@scrippshlth.medalliesdirect.net

Organizations & group practices 6

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1245446228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13922 MENNONITE PT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921293134",
            "telephone_number": "203-506-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13922 MENNONITE PT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921293134",
            "telephone_number": "203-506-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHOOTI",
        "first_name": "SEPI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "35.089487",
            "primary": false
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Cytopathology",
            "state": "CA",
            "license": "A109898",
            "primary": true
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "OH",
            "license": "35.089487",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.