NPIMap

Individual provider Active NPI

Artin Mahmoudi, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Ukiah, CA
National Provider Identifier
1265786552
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
G63126 Issued in CA
Practice address
275 Hospital Dr
Sonora Regional Medical Center
Ukiah, CA 95482
Phone
(707) 462-3111
NPI assigned
Nov 8, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X G63126 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X G63126 CA Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 27589 CO

Addresses

Primary practice location

275 Hospital Dr
Sonora Regional Medical Center
Ukiah, CA 95482

Mailing address

338 NE 105TH Ave
Hillsboro, OR 97006-7638
Phone (209) 288-9874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130925000494 CA Practitioner - Pulmonary Disease 8325282700 Reassigns benefits to 3 organizations
I20230705001411 OR Practitioner - Internal Medicine 8325282700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonora Community HospitalGroup PAC ID 4284538505, 134 clinicians
Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians
Ukiah Adventist HospitalGroup PAC ID 6406816123, 136 clinicians

Practice addresses (Care Compare)

1000 Greenley Rd
Sonora, CA 95370-5200
Phone (209) 536-5000

15322 Lakeshore Dr
Clearlake, CA 95422-9815

232 Hospital Dr
Ukiah, CA 95482-4562

245 Hospital Dr
Ukiah, CA 95482-4531
Phone (707) 462-3111

275 Hospital Dr
Ukiah, CA 95482-4531
Phone (707) 462-3111

680 Guzzi LN
Sonora, CA 95370-5288

Hospital & facility affiliations

  • Adventist Health Ukiah Valley Hospital, Ukiah, CA, CCN 050301
  • Adventist Health Sonora Hospital, Sonora, CA, CCN 050335
  • Adventist Health Clearlake Hospital, Clearlake, CA, CCN 051317
  • Adventist Health Howard Memorial Hospital, Willits, CA, CCN 051310
  • Adventist Health Mendocino Coast Hospital, Fort Bragg, CA, CCN 051325

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
75.94
Promoting interoperability
100
Improvement activities
40
Cost
83.56

Merit-based Incentive Payment System (MIPS)

Final score
86.72 of 100Reported as individual
Quality
100
Improvement activities
0
Cost
84.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27589COMDCritical Care Medicine (Internal Medicine) Physician
G63126CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Community Hospital CurrentSince Aug 5, 2013 Accepting new patients
Adventist Health Physicians Network Pulmonary Disease CurrentSince Dec 16, 2024 Accepting new patients
Sonora Community Hospital Current Accepting new patients
Adventist Health Physicians Network CurrentSince Dec 16, 2024 Accepting new patients
Ukiah Adventist Hospital CurrentSince Jan 1, 2025 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
McKenzie Physician Services LLC CurrentSince Jul 1, 2023 Accepting new patients
Ukiah Adventist Hospital CurrentSince Jan 1, 2025 Accepting new patients
Sonora Community Hospital CurrentSince Aug 5, 2013 Accepting new patients

Locations

15322 Lakeshore Dr
Ste 102
Clearlake, CA 95422
Phone (707) 994-2030

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

680 Guzzi Ln
Ste 106
Sonora, CA 95370
Phone (209) 532-2792

680 Guzzi Ln
Ste 201
Sonora, CA 95370
Phone (209) 536-1785

900 Greenley Rd
Ste 911
Sonora, CA 95370
Phone (209) 532-0511

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

1750 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-0333

1460 G St
Springfield, OR 97477
Phone (541) 431-0665

Interoperability endpoints

  • Direct secure messaging: artin.mahmoudi.1@14718.direct.athenahealth.com

Organizations & group practices 9

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1265786552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 NE 105TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970067638",
            "telephone_number": "209-288-9874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 HOSPITAL DR",
            "address_2": "SONORA REGIONAL MEDICAL CENTER",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "95482",
            "telephone_number": "707-462-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOUDI",
        "first_name": "ARTIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-08",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G63126",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "G63126",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CO",
            "license": "27589",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

Verify at the official NPI Registry.