Individual provider Active NPI

Mehrdad Salimkhanian

  • Family Medicine Physician
  • Irvine, CA
National Provider Identifier
1467640888
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A101191 Issued in CA
Practice address
4870 Barranca Pkwy
110
Irvine, CA 92604-4709
Phone
(949) 857-1248
Fax
(949) 559-1165
NPI assigned
Oct 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A101191 CA Primary

Addresses

Primary practice location

4870 Barranca Pkwy
110
Irvine, CA 92604-4709

Mailing address

PO Box 3699
Newport Beach, CA 92659-8699
Phone (949) 857-1248

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
I20080116000360 CA Practitioner - Family Practice 5890876817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nellie Gail Urgent Care Medical CorpGroup PAC ID 7810203999, 4 clinicians

Practice addresses (Care Compare)

27001 Moulton Pkwy
Suite A102
Laguna Hills, CA 92656-3626
Phone (949) 600-1907

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A101191CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nellie Gail Urgent Care Medical Corp Family Medicine CurrentSince Jun 10, 2014 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 1, 2015 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine CurrentSince Jan 1, 2015 Accepting new patients
Nellie Gail Urgent Care PastSince Sep 18, 2015 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

9930 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 964-6229

27001 Moulton Pkwy
Ste A102
Laguna Hills, CA 92656
Phone (949) 600-1907

2925 Palo Verde Ave
Long Beach, CA 90815
Phone (562) 421-2757

3501 S Harbor Blvd
Santa Ana, CA 92704
Phone (714) 784-1658

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354233600000",
    "number": "1467640888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3699",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926598699",
            "telephone_number": "949-857-1248",
            "fax_number": "949-559-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 BARRANCA PKWY",
            "address_2": "110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044709",
            "telephone_number": "949-857-1248",
            "fax_number": "949-559-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIMKHANIAN",
        "first_name": "MEHRDAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-10",
        "last_updated": "2012-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A101191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.