Individual provider Active NPI

Donny Mehrabi, M.D.

  • Dermatology Physician
  • Glendale, CA
National Provider Identifier
1356454557
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A84588 Issued in CA
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

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A845880MedicaidCA

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
I20050628001325 CA Practitioner - Dermatology 0547215881 Reassigns benefits to 1 organization

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
Don Mehrabi MD a Professional Medical CorporationGroup PAC ID 8123104395, 4 clinicians

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 100Reported as group
Quality
90.14
Improvement activities
40
Cost
69.69

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13
Removal of skin lesions769
Removal of skin cancer59
Removal or shaving of skin growth338
Skin biopsy54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A84588CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Don Mehrabi MD a Professional Medical Corporation Dermatology CurrentSince Feb 1, 2008 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. PastSince May 22, 2022 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.