Arjang K Miremadi, MD

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

A31016 Issued in CA

Practice address

7702 Ivanhoe Ave
La Jolla, CA 92037-4520

Phone

(858) 456-1840

Fax

(858) 456-9341

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

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

Specialty

DermatologyAlso: Pathology

Education

Other, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sun City Medical Group IncGroup PAC ID 1951707678, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: arjang.miremadi.1@23613.direct.athenahealth.com

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.

• Sun City Medical Group Inc.

  • Multi-Specialty Clinic/Center
  • El Centro, CA
  • NPI 1922677319
  Medicare reassignment Care Compare group NPD
• Miremadi Dermatology Medical Corporation

  • Dermatopathology Physician
  • La Jolla, CA
  • NPI 1760663116
  Medicare reassignment Authorized official
• Scripps Health

  • General Acute Care Hospital
  • La Jolla, CA
  • NPI 1841233780
  NPD (past)
• Scripps Health

  • General Acute Care Hospital
  • La Jolla, CA
  • NPI 1841277704
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1497849418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7702 IVANHOE AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374520",
            "telephone_number": "858-456-1840",
            "fax_number": "858-456-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7702 IVANHOE AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374520",
            "telephone_number": "858-456-1840",
            "fax_number": "858-456-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIREMADI",
        "first_name": "ARJANG",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A31016",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "A31016",
            "primary": true
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "CA",
            "license": "A31016",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A31016",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "CA",
            "license": "A31016",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A310160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew John Minn
• Kimberly Minutella
• Gines D Miralles, M.D.
• Pedi Mirdamadi
• Miremadi Dermatology Medical Corporation
• Miriam Zabinsky Licensed Professional Clinical Counselor PC
• Ali Mirza, MD
• Michael Misel
• Mission Beach Holdings LLC
• Brendon Cranfill Mitchell, MD

• Dermatopathology Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Dermatopathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.

Verify at the official NPI Registry.