Individual provider Active NPI

Ramyar Mahdavi, M.D.

  • Pulmonary Disease Physician
  • Glendale, CA
National Provider Identifier
1346481645
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
62403-20 Issued in WI
Practice address
1511 W Glenoaks Blvd
Glendale, CA 91201-1912
Phone
(818) 637-2200
Fax
(818) 637-2250
NPI assigned
Mar 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 62403-20 WI Primary

Addresses

Primary practice location

1511 W Glenoaks Blvd
Glendale, CA 91201-1912

Mailing address

3426 Red Rose Dr
Encino, CA 91436-4214
Phone (818) 300-6191

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150731017236 CA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 6901081652 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vista Critical Care Associates IncGroup PAC ID 8729479225, 15 clinicians

Practice addresses (Care Compare)

1511 W Glenoaks Blvd
Glendale, CA 91201-1912
Phone (818) 637-2200

Hospital & facility affiliations

  • Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239
  • Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Pulmonary & Critical Care Associates Inc. CurrentSince Jun 1, 2024 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jul 1, 2015 Accepting new patients
Vital Lungs Associates of Southern California Inc Pulmonary Disease CurrentSince Oct 11, 2025 Accepting new patients
Vista Critical Care Associates Inc Pulmonary Disease CurrentSince Jun 2, 2025 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jul 1, 2015 Accepting new patients
Inpatient Specialists of California, PC CurrentSince Jan 10, 2024 Accepting new patients
Hospitalist Medicine Physicians of Albany County, PLLC Past Accepting new patients

Locations

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

1511 W Glenoaks Blvd
Glendale, CA 91201
Phone (818) 637-2200

1560 E Chevy Chase Dr
Ste 355
Glendale, CA 91206
Phone (747) 212-3441

1510 San Pablo St
Ste 514
Los Angeles, CA 90033
Phone (323) 442-5910

1441 Eastlake Ave
Los Angeles, CA 90089
Phone (323) 865-3000

1500 San Pablo St
Los Angeles, CA 90033
Phone (323) 443-8500

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

18300 Roscoe Blvd
Northridge, CA 91325
Phone (818) 885-5331

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1346481645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3426 RED ROSE DR",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364214",
            "telephone_number": "818-300-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 W GLENOAKS BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011912",
            "telephone_number": "818-637-2200",
            "fax_number": "818-637-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHDAVI",
        "first_name": "RAMYAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-16",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WI",
            "license": "62403-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.