NPIMap

Individual provider Active NPI

M Mehdi Ghajarnia, MD

  • Ophthalmology Physician
  • Fresno, CA
National Provider Identifier
1417077983
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A103681 Issued in CA
Practice address
1360 E Herndon Avenue
Suite 301
Fresno, CA 93720-3326
Phone
(559) 486-5000
Fax
(559) 439-7854
NPI assigned
Mar 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A103681 CA Primary
Ophthalmology Physician 207W00000X MT184548 PA

Addresses

Primary practice location

1360 E Herndon Avenue
Suite 301
Fresno, CA 93720-3326

Mailing address

1360 E Herndon Avenue
Suite 301
Fresno, CA 93720-3326
Phone (559) 486-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080926000380 CA Practitioner - Ophthalmology 9335233394 Reassigns benefits to 2 organizations
Practice locations: Glendale, CA

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Pittsburgh School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Medical Clinic of Fresno IncGroup PAC ID 1355381740, 15 clinicians

Practice addresses (Care Compare)

1360 E Herndon Ave
Suite 301
Fresno, CA 93720-3326
Phone 55948650002822

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.23 of 100Reported as group
Quality
79.8
Promoting interoperability
80
Improvement activities
40
Cost
87.82

Merit-based Incentive Payment System (MIPS)

Final score
86.93 of 100Reported as group
Quality
87.98
Promoting interoperability
99
Improvement activities
40
Cost
62.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery542

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT184548PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fogg Remington Eyecare Inc Ophthalmology CurrentSince Mar 23, 2019 Accepting new patients
Fogg Remington Eyecare Inc Ophthalmology CurrentSince Mar 23, 2019 Accepting new patients
Saint Agnes Medical Center Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Eye Care First , a Medical Group,Inc. Ophthalmology Past Accepting new patients
United Health Centers of the San Joaquin Valley Past Accepting new patients
Fresno Surgery Center LP Past Accepting new patients

Locations

1817 Shaw Ave
Ste 104
Clovis, CA 93611
Phone (559) 449-5010

1360 E Herndon Ave
Ste 401
Fresno, CA 93720
Phone (209) 449-5010

1648 E Herndon Ave
Ste 101
Fresno, CA 93720
Phone (559) 432-2111

2401 W Cleveland Ave
Madera, CA 93637
Phone (559) 449-5010

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mmehdi.ghajarnia.p4@direct.californiaeye.nextgenshare.com
  • Direct secure messaging: mmehdi.ghajarnia.p1@direct.californiaeye.nextgenshare.com

Organizations & group practices 8

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1417077983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E HERNDON AVENUE",
            "address_2": "SUITE 301",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203326",
            "telephone_number": "559-486-5000",
            "fax_number": "559-439-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 E HERNDON AVENUE",
            "address_2": "SUITE 301",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203326",
            "telephone_number": "559-486-5000",
            "fax_number": "559-439-7854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAJARNIA",
        "first_name": "M MEHDI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A103681",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MT184548",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.