Dr Mahadev MD Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

DR MAHADEV MD INC

Practice address

125 Chaparral Court
Suite 102
Anaheim Hills, CA 92808

Phone

(714) 998-1941

Fax

(714) 998-3472

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Marigangaiah Mahadev, MDNPI 1245264902

Title

MD

Phone

(714) 998-1941

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marigangaiah Mahadev, MD

  • Adult Medicine Physician
  • Anaheim Hills, CA
  • NPI 1245264902

  Pediatrics

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295830974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CHAPARRAL COURT",
            "address_2": "SUITE 102",
            "city": "ANAHEIM HILLS",
            "state": "CA",
            "postal_code": "92808",
            "telephone_number": "714-998-1941",
            "fax_number": "714-998-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CHAPARRAL COURT",
            "address_2": "SUITE 102",
            "city": "ANAHEIM HILLS",
            "state": "CA",
            "postal_code": "92808",
            "telephone_number": "714-998-1941",
            "fax_number": "714-998-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MAHADEV MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAHADEV",
        "authorized_official_first_name": "MARIGANGAIAH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "714-998-1941",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A451091",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harry Joel Charm, OD
• Caren Hui-Min Chen, MD
• Children'S Medical Group of Orange County Apc
• Bernadine M Deramo, NP
• Kim Jon Dipasquale, DDS MS
• F.Foroutan DDS Inc.
• Janet Eileen Frazier, L.M.F.T, DR. P.H.
• Donna Jo Frisch, MD
• Xuhong Gao, ACUPUNCTURIST
• Bernadette Pamulo Gonzales, NURSE PRACTITIONER

• Pediatrics Physician in Anaheim Hills, CA
• Providers in Anaheim Hills, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.