Active NPI
Donny Mehrabi, M.D.
- Dermatology Physician
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A84588
- Practice address
- 1505 Wilson Ter Ste 240
Glendale, CA 91206-4033 - Phone
- (310) 205-3555
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A84588 | CA | Primary |
Addresses
Primary practice location
1505 Wilson Ter Ste 240
Glendale, CA 91206-4033
Mailing address
1112 Montana Ave Ste 912
Santa Monica, CA 90403-1652
Phone (310) 205-3555
Other practice location 1
16030 Ventura Blvd Ste 140
Encino, CA 91436-4453
Phone (310) 205-3555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A845880 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Northeastern Ohio University College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1505 Wilson Ter
Suite 240
Glendale, CA 91206-4033
Phone (310) 205-3555
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.96 of 100
- Quality
- 90.14
- Improvement activities
- 40
- Cost
- 69.69
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 13 |
| Removal of skin lesions | 769 |
| Removal of skin cancer | 59 |
| Removal or shaving of skin growth | 338 |
| Skin biopsy | 54 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A84588 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Don Mehrabi MD a Professional Medical Corporation | Dermatology | Current | Accepting new patients |
| Tarzana Medical Center LLC | Past | Accepting new patients | |
| Cedars-Sinai Medical Center | Past | Accepting new patients | |
| Peter Jahangir Parker M D Inc. | Past | Accepting new patients | |
| Peter Jahangir Parker, MD, Inc. | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Glendale Adventist Medical Center | Past | Accepting new patients |
Locations
9735 Wilshire Blvd
Ste 421
Beverly Hills, CA 90212
Phone (310) 205-3555
16030 Ventura Blvd
Ste 140
Encino, CA 91436
Phone (310) 205-3555
1505 Wilson Ter
Ste 240
Glendale, CA 91206
Phone (310) 205-3555
212 26th St
Santa Monica, CA 90402
Phone (310) 848-4604
1112 Montana Ave
Ste 912
Santa Monica, CA 90403
Phone (310) 205-3555
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GHDBBA/Endpoint/GHDBBA
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601510400000",
"number": "1356454557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 MONTANA AVE STE 912",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904031652",
"telephone_number": "310-205-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 WILSON TER STE 240",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064033",
"telephone_number": "310-205-3555"
}
],
"practiceLocations": [
{
"address_1": "16030 Ventura Blvd Ste 140",
"address_purpose": "LOCATION",
"city": "Encino",
"state": "CA",
"postal_code": "914364453",
"country_code": "US",
"telephone_number": "310-205-3555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEHRABI",
"first_name": "DONNY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2020-10-01",
"certification_date": "2020-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A84588",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A845880",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.