NPIMap

Individual provider Active NPI

Mahdi Yazdany, M.D.

  • Nephrology Physician
  • Torrance, CA
National Provider Identifier
1316109911
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A120736 Issued in CA
Practice address
2841 Lomita Blvd Ste 215
Torrance, CA 90505-5111
Phone
(310) 379-2860
Fax
(310) 325-1144
NPI assigned
Jun 26, 2008
Last updated
Feb 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A120736 CA Primary

Addresses

Primary practice location

2841 Lomita Blvd Ste 215
Torrance, CA 90505-5111

Mailing address

3291 Skypark Dr
Torrance, CA 90505-5004
Phone (310) 325-4517

Other identifiers 1

IdentifierTypeStateIssuer
A120736OtherCAMEDICAL LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130820000545 CA Practitioner - Internal Medicine 0345419909 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Internal Medicine and Nephrology Med. Group Inc.Group PAC ID 3173681400, 7 clinicians

Practice addresses (Care Compare)

3291 Skypark Dr
Torrance, CA 90505-5004
Phone (310) 325-4517

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A120736CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concert Health Care Inc CurrentSince Aug 10, 2015 Accepting new patients
County of Los Angeles CurrentSince Jun 1, 2014 Accepting new patients
Internal Medicine and Nephrology Med. Group Inc. Nephrology CurrentSince Jan 1, 2016 Accepting new patients
County of Los Angeles CurrentSince Jun 1, 2014 Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Providence Health System Southern California Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

1000 E Dominguez St
Ste 110
Carson, CA 90746
Phone (310) 715-7755

1000 W Carson St
Torrance, CA 90502
Phone (310) 222-3501

1727 Crenshaw Blvd
Torrance, CA 90501
Phone (310) 373-7855

3291 Skypark Dr
Torrance, CA 90505
Phone (213) 325-4517

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mxy111pcs@m566.primeclinicalsystems.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1316109911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3291 SKYPARK DR",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055004",
            "telephone_number": "310-325-4517",
            "fax_number": "310-325-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 LOMITA BLVD STE 215",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055111",
            "telephone_number": "310-379-2860",
            "fax_number": "310-325-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAZDANY",
        "first_name": "MAHDI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A120736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A120736",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.