NPIMap

Organization Active NPI

Payam Mehranpour, Inc.

  • Cardiovascular Disease Physician
  • La Mesa, CA
National Provider Identifier
1306197447
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A112670 Issued in CA
Legal business name
PAYAM MEHRANPOUR, INC.
Practice address
8851 Center Dr Ste 405
La Mesa, CA 91942-3198
Phone
(619) 377-6262
Fax
(888) 533-3130
NPI assigned
Sep 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Payam Mehranpour, M.D.NPI 1790897387
Title
Owner
Phone
(619) 377-6262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X A112670 CA Primary

Addresses

Primary practice location

8851 Center Dr Ste 405
La Mesa, CA 91942-3198

Mailing address

8851 Center Dr Ste 405
La Mesa, CA 91942-3198
Phone (619) 377-6262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130109000702 CA Part B Supplier - Clinic/Group Practice 5294988861 Receives reassigned benefits from 6 practitioners
Practice locations: La Mesa, CA; Palm Springs, CA

National Provider Directory

National Provider Directory

Locations

8851 Center Dr
Ste 609
La Mesa, CA 91942
Phone (619) 377-6262

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306197447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR STE 405",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423198",
            "telephone_number": "619-377-6262",
            "fax_number": "888-533-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR STE 405",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423198",
            "telephone_number": "619-377-6262",
            "fax_number": "888-533-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYAM MEHRANPOUR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MEHRANPOUR",
        "authorized_official_first_name": "PAYAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-377-6262",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A112670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.