Omeed Ahadiat, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

OMEED AHADIAT, M.D.

Practice address

113 Waterworks Way
Irvine, CA 92618-3167

Phone

(949) 551-1113

NPI assigned

Jun 27, 2022

Organization subpart

No

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

Authorized official

Name

Omeed AhadiatNPI 1497250955

Title

President

Phone

(714) 598-9939

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00342

Practitioners 2

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

• Omeed Ahadiat

  • Dermatology Physician
  • Foothill Ranch, CA
  • NPI 1497250955
  Medicare reassignment NPD Authorized official
• Mallery Marie McElroy, PA-C

  • Physician Assistant
  • Newport Beach, CA
  • NPI 1912731001
  Medicare reassignment

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1316679558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20270 KLINE LN",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873269",
            "telephone_number": "714-598-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WATERWORKS WAY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183167",
            "telephone_number": "949-551-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEED AHADIAT, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "AHADIAT",
        "authorized_official_first_name": "OMEED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-598-9939"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Nichole Olson
• Samson Oladipo Oluseye, PHARM.D
• Brandon Olvera
• Shannon Michelle Omalley
• Crystal Dawn Omboli, PT, DPT
• Alison Laura Omel, P.A.
• Omid Dianat, DDS, Ms, PC
• Omid Multicultural Institute for Development
• Omid Vesal, MD, Medical Corporation
• Omid Vesal, MD, Medical Corporation

• Dermatology Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.