Individual provider Active NPI

Mehdi S. Jahromi, MD

  • Internal Medicine Physician
  • Yucaipa, CA
National Provider Identifier
1356388177
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A64559 Issued in CA
Practice address
31607 Yucaipa Blvd
Suite 8
Yucaipa, CA 92399
Phone
(909) 283-1186
Fax
(909) 242-8136
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A64559 CA Primary

Addresses

Primary practice location

31607 Yucaipa Blvd
Suite 8
Yucaipa, CA 92399

Mailing address

1855 W Redlands Blvd
Redlands, CA 92373-3145
Phone (909) 890-0407

Other identifiers 1

IdentifierTypeStateIssuer
00A645590MedicaidCA

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
I20100209000556 CA Practitioner - Internal Medicine 6305906181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Ohio, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aha Medical Clinics, Inc.Group PAC ID 1355850835, 6 clinicians

Practice addresses (Care Compare)

835 Highland Springs Ave
Suite 301
Beaumont, CA 92223-5771
Phone (909) 312-0085

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aha Medical Clinics, Inc. Internal Medicine CurrentSince Jun 1, 2025 Accepting new patients
Lasalle Medical Associates Past Accepting new patients

Locations

1855 W Redlands Blvd
Redlands, CA 92373
Phone (909) 890-0407

31607 Yucaipa Blvd
Ste 8
Yucaipa, CA 92399
Phone (909) 283-1186

11985 4th St
Ste 102
Yucaipa, CA 92399
Phone (909) 478-7951

31607 Yucaipa Blvd
Yucaipa, CA 92399

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mjahromi1250792@direct.llu.edu

Organizations & group practices 2

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 1

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1356388177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 W REDLANDS BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733145",
            "telephone_number": "909-890-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31607 YUCAIPA BLVD",
            "address_2": "SUITE 8",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "92399",
            "telephone_number": "909-283-1186",
            "fax_number": "909-242-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHROMI",
        "first_name": "MEHDI",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A64559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A645590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucaipa, CA

Sources for this page

Verify at the official NPI Registry.