Individual provider Active NPI

Paymohn Mahdavi, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Redlands, CA
National Provider Identifier
1295095669
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
A162708 Issued in CA
Practice address
1845 W Redlands Blvd Ste 101
Redlands, CA 92373-3125
Phone
(909) 363-1450
Fax
(909) 363-1480
NPI assigned
May 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A162708 CA
Retina Specialist (Ophthalmology) Physician 207WX0107X A162708 CA Primary
Ophthalmology Physician 207W00000X D0083614 MD

Addresses

Primary practice location

1845 W Redlands Blvd Ste 101
Redlands, CA 92373-3125

Mailing address

14726 Ramona Ave Ste 203
Chino, CA 91710-5730
Phone (626) 305-9100

Other practice location 1

12442 Limonite Ave Unit 203
Eastvale, CA 91752-2467
Phone (951) 821-5188

Other practice location 2

81767 Dr Carreon Blvd Ste 101
Indio, CA 92201-5598
Phone (760) 396-3600

Other practice location 3

399 E Highland Ave Ste 401
San Bernardino, CA 92404-3862
Phone (909) 327-3118

Other practice location 4

5991 E Spring St
Long Beach, CA 90808-3752
Phone (562) 938-9945

Other practice location 5

73950 Alessandro Dr Ste 5
Palm Desert, CA 92260-3637
Phone (760) 568-3334

Other practice location 6

7677 Center Ave Ste 301
Huntington Beach, CA 92647-3049
Phone (714) 901-2007

Other practice location 7

6377 Riverside Ave Ste 170
Riverside, CA 92506-3155
Phone (951) 777-2210

Other practice location 8

9170 Haven Ave Ste 102
Rancho Cucamonga, CA 91730-5416
Phone (909) 440-1014

Other practice location 9

494 N Mountain Ave
Upland, CA 91786-5178
Phone (909) 552-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170814002787 DC Practitioner - Ophthalmology 9234401043 Reassigns benefits to 1 organization
I20190805001886 CA Practitioner - Ophthalmology 9234401043 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York Medical College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Azul Vision IncGroup PAC ID 2264851740, 49 clinicians
California Eye Specialists Medical Group IncGroup PAC ID 6800793381, 26 clinicians

Practice addresses (Care Compare)

1845 W Redlands Blvd
Suite 101
Redlands, CA 92373-3125
Phone (909) 363-1450

Merit-based Incentive Payment System (MIPS)

Final score
85.29 of 100Reported as group
Quality
82.7
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A162708CAMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Azul Vision Inc. Ophthalmology CurrentSince Jun 12, 2024 Accepting new patients
Eyecare Specialists Medical Group, Inc. Ophthalmology CurrentSince Aug 29, 2023 Accepting new patients
Eyecare Specialists Medical Group, Inc Ophthalmology CurrentSince Aug 29, 2023 Accepting new patients
Eyecare Specialists Medical Group, Inc Ophthalmology Current Accepting new patients
Eyecare Specialists Medical Group, Inc CurrentSince Aug 29, 2023 Accepting new patients
Greater Baltimore Medical Center, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients
Ahmc San Gabriel Valley Medical Ophthalmology Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients

Locations (25 of 26)

947 S Anaheim Blvd
Ste 120
Anaheim, CA 92805
Phone (714) 821-4666

831 Highland Springs Ave
Ste 300
Beaumont, CA 92223
Phone (951) 769-0079

14726 Ramona Ave
Ste 203
Chino, CA 91710
Phone (626) 305-9100

8028 3rd St
Downey, CA 90241
Phone (562) 622-8700

12442 Limonite Ave
Unit 203
Eastvale, CA 91752
Phone (951) 821-5188

700 Garden View Ct
Encinitas, CA 92024
Phone (760) 274-2700

700 Garden View Ct
Ste 100
Encinitas, CA 92024
Phone (760) 452-4270

7677 Center Ave
Ste 301
Huntington Beach, CA 92647
Phone (714) 901-2004

81767 Doctor Carreon Blvd
Ste 101
Indio, CA 92201
Phone (760) 342-5268

23521 Paseo de Valencia
Ste 305
Laguna Hills, CA 92653
Phone (949) 581-1770

2600 Redondo Ave
Ste 203
Long Beach, CA 90806
Phone (562) 496-3600

5991 E Spring St
Long Beach, CA 90808
Phone (562) 938-9945

229 E Beverly Blvd
Montebello, CA 90640
Phone (323) 728-5814

3621 Vista Way
Oceanside, CA 92056
Phone (760) 607-3460

3621 Vista Way
Ste 101
Oceanside, CA 92056

44651 Village Ct
Ste 102
Palm Desert, CA 92260
Phone (760) 568-3334

73950 Alessandro Dr
Ste 5
Palm Desert, CA 92260
Phone (760) 568-3334

2619 E Colorado Blvd
#150
Pasadena, CA 91107
Phone (626) 305-9100

9170 Haven Ave
Ste 102
Rch Cucamonga, CA 91730
Phone (909) 440-1014

1845 W Redlands Blvd
Ste 101
Redlands, CA 92373
Phone (909) 363-1450

6900 Brockton Ave
Ste 203
Riverside, CA 92506
Phone (951) 682-4353

6377 Riverside Ave
Ste 170
Riverside, CA 92506
Phone (909) 558-2154

4351 Latham St
#101
Riverside, CA 92501

1595 E 17th St
Santa Ana, CA 92705
Phone (323) 728-7998

399 E Highland Ave
Ste 401
Sn Bernrdno, CA 92404
Phone (909) 327-3118

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: paymohn.mahdavi.p1@direct.katzeneye.nextgenshare.com
  • Direct secure messaging: paymohn.mahdavi.p1@direct.nri.nextgenshare.com
  • Direct secure messaging: paymohn.mahdavi.p1@direct.atlantiseyecare.nextgenshare.com
  • Direct secure messaging: paymohn.mahdavi.d1.p1@direct.katzeneye.nextgenshare.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1337472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1295095669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14726 RAMONA AVE STE 203",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105730",
            "telephone_number": "626-305-9100",
            "fax_number": "626-305-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 W REDLANDS BLVD STE 101",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733125",
            "telephone_number": "909-363-1450",
            "fax_number": "909-363-1480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12442 Limonite Ave Unit 203",
            "address_purpose": "LOCATION",
            "city": "Eastvale",
            "state": "CA",
            "postal_code": "917522467",
            "country_code": "US",
            "telephone_number": "951-821-5188",
            "fax_number": "951-542-1538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81767 Dr Carreon Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Indio",
            "state": "CA",
            "postal_code": "922015598",
            "country_code": "US",
            "telephone_number": "760-396-3600",
            "fax_number": "760-396-5379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "399 E Highland Ave Ste 401",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924043862",
            "country_code": "US",
            "telephone_number": "909-327-3118",
            "fax_number": "909-327-3119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5991 E Spring St",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908083752",
            "country_code": "US",
            "telephone_number": "562-938-9945",
            "fax_number": "562-496-0433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "73950 Alessandro Dr Ste 5",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922603637",
            "country_code": "US",
            "telephone_number": "760-568-3334",
            "fax_number": "760-568-3335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7677 Center Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926473049",
            "country_code": "US",
            "telephone_number": "714-901-2007",
            "fax_number": "714-901-2003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6377 Riverside Ave Ste 170",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925063155",
            "country_code": "US",
            "telephone_number": "951-777-2210",
            "fax_number": "951-777-2235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9170 Haven Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917305416",
            "country_code": "US",
            "telephone_number": "909-440-1014",
            "fax_number": "909-440-1015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "494 N Mountain Ave",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917865178",
            "country_code": "US",
            "telephone_number": "909-552-7200",
            "fax_number": "909-552-7342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHDAVI",
        "first_name": "PAYMOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-20",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A162708",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "A162708",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0083614",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.