Khodadad Mehraein, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

A68120 Issued in CA

Practice address

1415 E 17TH St
Suite 280
Santa Ana, CA 92705-8525

Phone

(562) 225-2002

Fax

(949) 415-2536

NPI assigned

Jul 18, 2007

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

Pathology

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oasis Advanced Gastroenterology IncGroup PAC ID 3173882487, 2 clinicians

Digestive Disease Consultants of Orange County IncGroup PAC ID 7810057106, 14 clinicians

Basim Z. Abdelkarim, M.D., Inc.Group PAC ID 5890796445, 4 clinicians

Hanson T Lee MD, IncGroup PAC ID 9234144536, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Basim Z. Abdelkarim, M.D., Inc.

  • Gastroenterology Physician
  • Upland, CA
  • NPI 1063593739
  Medicare reassignment Care Compare group NPD
• Digestive Disease Consultants of Orange County Inc

  • Gastroenterology Physician
  • Irvine, CA
  • NPI 1780843458
  Medicare reassignment Care Compare group
• Hanson T Lee MD, Inc

  • Gastroenterology Physician
  • Arcadia, CA
  • NPI 1114024346
  Medicare reassignment Care Compare group
• Oasis Advanced Gastroenterology, Inc.

  • Gastroenterology Physician
  • Palm Springs, CA
  • NPI 1073027603
  Medicare reassignment Care Compare group
• Benjamin Basseri MD Inc.

  • Gastroenterology Physician
  • Los Angeles, CA
  • NPI 1578908422
  Medicare reassignment NPD
• David Yamini, MD Inc

  • Gastroenterology Physician
  • Santa Monica, CA
  • NPI 1326405713
  Medicare reassignment NPD
• Urology Center of So Calif Medical Group Inc

  • Urology Physician
  • Murrieta, CA
  • NPI 1750604948
  Medicare reassignment NPD
• Histopathology Services Inc

  • Clinical Medical Laboratory
  • Tustin, CA
  • NPI 1699085290
  NPD Authorized official
• Urological Medical Associates

  • Specialist
  • Los Angeles, CA
  • NPI 1437100864
  Medicare reassignment
• Urology Center of Southern California Medical Group Inc

  • Urology Physician
  • Murrieta, CA
  • NPI 1982631412
  NPD

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297036800000",
    "number": "1316147374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 E 17TH ST",
            "address_2": "SUITE 280",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058525",
            "telephone_number": "562-225-2002",
            "fax_number": "949-415-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 E 17TH ST",
            "address_2": "SUITE 280",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058525",
            "telephone_number": "562-225-2002",
            "fax_number": "949-415-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHRAEIN",
        "first_name": "KHODADAD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2011-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A68120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medmanagement LLC
• Daniela Josie Medrano, CMPSS
• Gloria Medrano
• Shaun Christopher Meehan
• Mehdi F Derambkhsh MD Inc
• Mehrotra MD, Professional Corporation
• Jigna N. Mehta, PA-C
• Diana Meier, LCSW
• Zane Anders Meints, LMFT
• Cindy Mejia

• Anatomic Pathology & Clinical Pathology Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; 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.