Individual provider Active NPI

Mehdi Fakhrai, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Mission Hills, CA
National Provider Identifier
1427012228
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
35.043266 Issued in OH
Practice address
11550 Indian Hills Rd
Ste 360
Mission Hills, CA 91345-1252
Phone
(818) 898-3939
Fax
(818) 898-3939
NPI assigned
Apr 17, 2006
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 35.043266 OH Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X A39658 CA

Addresses

Primary practice location

11550 Indian Hills Rd
Ste 360
Mission Hills, CA 91345-1252

Mailing address

11550 Indian Hills Rd
Ste 360
Lima, OH 45801-4602
Phone (818) 898-3939

Other practice location 1

730 W Market St Ste 2K
Lima, OH 45801-4602
Phone (419) 996-4011

Other identifiers 1

IdentifierTypeStateIssuer
00A396580MedicaidCA

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
I20120105000985 CA Practitioner - Thoracic SurgeryPractitioner - Vascular SurgeryPractitioner - Cardiac Surgery 4082880448 Reassigns benefits to 1 organization
Practice locations: Granada Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery, Vascular Surgery
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10605 Balboa Blvd
Suite 225
Granada Hills, CA 91344-6376
Phone (818) 898-3939

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A39658CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mehdi Fakhrai MD, F.I.C.S., F.a.C.S., Medical Corporation Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Dec 12, 2020 Accepting new patients

Locations

10605 Balboa Blvd
Ste 225
Granada Hills, CA 91344
Phone (818) 898-3939

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1427012228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD",
            "address_2": "STE 360",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014602",
            "telephone_number": "818-898-3939",
            "fax_number": "818-898-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD",
            "address_2": "STE 360",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451252",
            "telephone_number": "818-898-3939",
            "fax_number": "818-898-3939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 W Market St Ste 2K",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458014602",
            "country_code": "US",
            "telephone_number": "419-996-4011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAKHRAI",
        "first_name": "MEHDI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "35.043266",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A39658",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A396580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.