Babak Roshdieh, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A76333 Issued in CA

Practice address

770 Magnolia Ave
Suite 2G
Corona, CA 92879-3120

Phone

(951) 734-6500

Fax

(951) 734-6555

NPI assigned

May 26, 2006

Last updated

Nov 14, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

Stanford University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pacific Dermatology InstituteGroup PAC ID 2062546260, 32 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.17 of 100Reported as group

Quality

74.51

Promoting interoperability

92

Improvement activities

40

Cost

82.72

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Pacific Dermatology Institute

  • Dermatology Physician
  • Corona, CA
  • NPI 1740410182
  Medicare reassignment Care Compare group NPD
• J Robert West, M.D., Inc

  dba Southern California Dermatology

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1932154788
  Medicare reassignment NPD
• Babak Roshdieh, M.D. Corp.

  • Dermatology Physician
  • Corona, CA
  • NPI 1992751440
  Authorized official Same address or phone
• Magnolia Dermatology Inc

  • Dermatology Physician
  • Corona, CA
  • NPI 1972990653
  Authorized official Same address or phone
• Trupath Laboratories, Inc.

  • Clinical Medical Laboratory
  • Corona, CA
  • NPI 1548325145
  Authorized official Same address or phone
• John F Burnett M D Inc

  • Plastic Surgery Physician
  • Fresno, CA
  • NPI 1154583466
  NPD
• Bradley Mudge MD Inc

  dba Novare Plastic Surgery and Skin Care Center

  • Plastic Surgery Physician
  • Newport Beach, CA
  • NPI 1548324791
  NPD (past)
• Community Hospital of San Bernardino

  dba Community Convalescent Center of San Bernardino

  • Pediatric Skilled Nursing Facility
  • San Bernardino, CA
  • NPI 1851395685
  NPD (past)
• Earl S Pearson MD Inc

  • Dermatology Physician
  • Porterville, CA
  • NPI 1932271657
  NPD (past)
• Silverberg MD a Professional Corporation

  dba Silverberg Surgical and Medical Group

  • Specialist
  • Newport Beach, CA
  • NPI 1811085608
  NPD (past)
• Uhs Corona Inc

  dba Corona Regional Medical Center

  • Rehabilitation Hospital Unit
  • Corona, CA
  • NPI 1255327920
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1275589723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 MAGNOLIA AVE",
            "address_2": "SUITE 2G",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793120",
            "telephone_number": "951-734-6500",
            "fax_number": "951-734-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 MAGNOLIA AVE",
            "address_2": "SUITE 2G",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793120",
            "telephone_number": "951-734-6500",
            "fax_number": "951-734-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSHDIEH",
        "first_name": "BABAK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A76333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosalie a. de Guzman, M.D., Inc.
• Alyanah Josephine Rosario
• Anne Rose, MFT
• Rosette Adegbe
• Maryam Roshankar, PHARM.D
• Candace Ross, LMFT
• Aitikah Rossett, OTA
• Shelley Elizabeth Rossi, M.A.
• Meredith Catherine Roudebush, MSW, LCSW
• Amanda Rounds

• Dermatology Physician in Corona, CA
• Providers in Corona, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.

Verify at the official NPI Registry.