Individual provider Active NPI

Meyer Mehdi Soroudi, M.D.

  • Diagnostic Radiology Physician
  • Huntington Beach, CA
National Provider Identifier
1417964362
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A26301 Issued in CA
Practice address
16161 Gothard St
Suite C
Huntington Beach, CA 92647-3603
Phone
(714) 843-6255
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A26301 CA Primary

Addresses

Primary practice location

16161 Gothard St
Suite C
Huntington Beach, CA 92647-3603

Mailing address

16161 Gothard St
Suite C
Huntington Beach, CA 92647-3603
Phone (714) 843-6255

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
I20041116001282 CA Practitioner - Diagnostic Radiology 2567426885 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A26301CAMDDiagnostic Radiology Physician
26301CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Imaging Healthcare, Inc. CurrentSince Jan 28, 2011 Accepting new patients
United Medical Imaging Healthcare, Inc. Diagnostic Radiology CurrentSince Jan 28, 2011 Accepting new patients
United Medical Imaging Healthcare, Inc. Current Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Diagnostic Radiology Past Accepting new patients

Locations (25 of 30)

1801 W Romneya Dr
Ste 104
Anaheim, CA 92801
Phone (714) 678-4000

10230 Artesia Blvd
Ste 100
Bellflower, CA 90706
Phone (562) 461-2585

6131 Orangethorpe Ave
Ste 130
Buena Park, CA 90620
Phone (714) 522-2077

11411 Brookshire Ave
Ste 101
Downey, CA 90241
Phone (562) 869-9192

11160 Warner Ave
Ste 105
Fountain Vly, CA 92708
Phone (714) 619-7500

12665 Garden Grove Blvd
Ste 103
Garden Grove, CA 92843
Phone (714) 620-8200

1141 W Redondo Beach Blvd
Ste 105
Gardena, CA 90247
Phone (310) 436-1730

1141 W Redondo Beach Blvd
Ste 307
Gardena, CA 90247
Phone (310) 715-6100

624 S Central Ave
Glendale, CA 91204
Phone (818) 241-3369

16161 Gothard St
Ste C
Huntington Beach, CA 92647
Phone (714) 843-6255

110 S La Brea Ave
Ste 150
Inglewood, CA 90301
Phone (310) 671-6000

15825 Laguna Canyon Rd
Ste 101
Irvine, CA 92618
Phone (949) 777-9000

701 E 28th St
Ste 318
Long Beach, CA 90806
Phone (562) 290-8888

1040 Elm Ave
Ste 102
Long Beach, CA 90813
Phone (562) 285-1000

6310 San Vicente Blvd
Ste 102
Los Angeles, CA 90048
Phone (323) 556-3000

3513 Whittier Blvd
Los Angeles, CA 90023
Phone (323) 262-1814

1127 Wilshire Blvd
Ste 202
Los Angeles, CA 90017
Phone (213) 223-5050

1127 Wilshire Blvd
Ste 100
Los Angeles, CA 90017
Phone (213) 202-5785

4916 Whittier Blvd
Los Angeles, CA 90022
Phone (213) 596-8100

2080 Century Park E
Ste 104
Los Angeles, CA 90067
Phone (310) 432-8000

3737 Martin Luther King Jr Blvd
Ste 104
Lynwood, CA 90262
Phone (310) 667-4999

4316 Slauson Ave
Maywood, CA 90270
Phone (323) 771-9867

26522 La Alameda
Ste 170190
Mission Viejo, CA 92691

26522 La Alameda
Ste 280
Mission Viejo, CA 92691
Phone (949) 643-3345

24036 Lyons Ave
Ste Radiology
Newhall, CA 91321

Organizations & group practices 29

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.

View all 29

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1417964362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16161 GOTHARD ST",
            "address_2": "SUITE C",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473603",
            "telephone_number": "714-843-6255",
            "fax_number": "714-282-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16161 GOTHARD ST",
            "address_2": "SUITE C",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473603",
            "telephone_number": "714-843-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOROUDI",
        "first_name": "MEYER",
        "middle_name": "MEHDI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A26301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.