Individual provider Active NPI

Jennifer Lyn Mehdizadeh, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
  • Tarzana, CA
National Provider Identifier
1396877387
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianTaxonomy code 2088F0040X
License
A85757 Issued in CA
Practice address
5411 Etiwanda Ave Ste 200
Tarzana, CA 91356-6160
Phone
(424) 314-0125
Fax
(424) 314-0128
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician 2088F0040X A85757 CA Primary
Urology Physician 208800000X A85757 CA

Addresses

Primary practice location

5411 Etiwanda Ave Ste 200
Tarzana, CA 91356-6160

Mailing address

PO Box 54679
Los Angeles, CA 90054-0679
Phone (424) 314-0125

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
I20090121000494 CA Practitioner - Urology 3779647698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of California, San Francisco School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

5411 Etiwanda Ave
Suite 200
Tarzana, CA 91356-3648
Phone (424) 314-0125

Hospital & facility affiliations

  • Providence Cedars Sinai Tarzana Medical Center Hospital, Tarzana, CA, CCN 050761

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

Merit-based Incentive Payment System (MIPS)

Final score
96.27 of 100Reported as group
Promoting interoperability
91
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A85757CAMDFemale Pelvic Medicine and Reconstructive Surgery (Urology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Nov 1, 2024 Accepting new patients
Tower Urology Inc Urology Past Accepting new patients

Locations

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

18133 Ventura Blvd
Ste 300
Tarzana, CA 91356
Phone (310) 423-8888

5411 Etiwanda Ave
Ste 200
Tarzana, CA 91356
Phone (310) 423-2129

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jmehdizadeh503620@direct.cshs.org
  • Direct secure messaging: jennifermehdizadeh@sfvua.medalliesdirect.net

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1396877387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54679",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900540679",
            "telephone_number": "424-314-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 ETIWANDA AVE STE 200",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566160",
            "telephone_number": "424-314-0125",
            "fax_number": "424-314-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHDIZADEH",
        "first_name": "JENNIFER",
        "middle_name": "LYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088F0040X",
            "taxonomy_group": "",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "CA",
            "license": "A85757",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A85757",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.