Active NPI
Mehrdad Salimkhanian
- Family Medicine Physician
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A101191
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A101191 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nellie Gail Urgent Care Medical Corp | Family Medicine | Current | Accepting new patients |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Family Medicine | Current | Accepting new patients |
| Nellie Gail Urgent Care | Past | 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
- 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.
-
- Urgent Care Clinic/Center
- Laguna Hills, CA
- NPI 1073909859
Family Medicine
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
Family Medicine
-
- Urgent Care Clinic/Center
- Laguna Hills, CA
- NPI 1306214184
-
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1255523643
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.