Active NPI
Mehdi Farshad Derambakhsh, M.D.
- MOHS-Micrographic Surgery Physician
- Encino, CA
National Provider Identifier
1477503563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- A88950
- Practice address
- 16260 Ventura Blvd
140
Encino, CA 91436-2203 - Phone
- (818) 528-2500
- Fax
- (818) 528-2505
- NPI assigned
- May 11, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A88950 | CA | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | A88950 | CA | Primary |
| Family Medicine Physician | 207Q00000X | A88950 | CA |
Addresses
Primary practice location
16260 Ventura Blvd
140
Encino, CA 91436-2203
Mailing address
210 S Prospect Ave
#4
Redondo Beach, CA 90277-6802
Phone (310) 218-6415
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060619000322 | CA | Practitioner - Dermatology | 3870505621 | Practice locations: Fountain Valley, CA; Lake Elsinore, CA; Newport Beach, CA; Reseda, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
18855 Victory Blvd
Reseda, CA 91335-6445
Phone (818) 774-3216
7150 Tampa Ave
Reseda, CA 91335-3700
Phone (818) 774-3216
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1045 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 75 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A88950 | CA | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mehdi F Derambkhsh MD Inc | Dermatology | Past | Accepting new patients |
| Shifa Regenerative Center and Pain Management | Past | Accepting new patients | |
| Ali Roham, DO Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Dermatology Physician
- Santa Ana, CA
- NPI 1770993347
-
- Plastic and Reconstructive Surgery Physician
- Newport Beach, CA
- NPI 1558907857
-
- Pain Clinic/Center
- Laguna Hills, CA
- NPI 1518846385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1477503563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 S PROSPECT AVE",
"address_2": "#4",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902776802",
"telephone_number": "310-218-6415",
"fax_number": "818-528-2505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16260 VENTURA BLVD",
"address_2": "140",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362203",
"telephone_number": "818-528-2500",
"fax_number": "818-528-2505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERAMBAKHSH",
"first_name": "MEHDI",
"middle_name": "FARSHAD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A88950",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "CA",
"license": "A88950",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A88950",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.