Active NPI
Reza Dehdari, M.D.
- Diagnostic Radiology Physician
- Tustin, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A113848
- Practice address
- 2615 Saint Simons
Tustin, CA 92782-1229 - Phone
- (714) 456-7890
- NPI assigned
- May 30, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A113848 | CA | Primary |
Addresses
Primary practice location
2615 Saint Simons
Tustin, CA 92782-1229
Mailing address
2615 Saint Simons
Tustin, CA 92782-1229
Phone (714) 456-7890
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
- Diagnostic Radiology
- Education
- University of Miami, LM Miller School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1115 S Sunset Ave
West Covina, CA 91790-3940
Phone (626) 962-4011
125 Bravo
Irvine, CA 92618-1310
Phone (626) 244-8200
1300 N Vermont Ave
Los Angeles, CA 90027-6005
Phone (877) 406-2916
1401 S Grand Ave
Los Angeles, CA 90015-3010
Phone (800) 475-6112
14850 Roscoe Blvd
Panorama City, CA 91402-4618
Phone (818) 787-2222
1606 Viewmont Dr
Los Angeles, CA 90069-1319
Phone (626) 244-8200
16237 Ventura Blvd
Encino, CA 91436-2201
Phone (877) 406-2916
18321 Clark St
Tarzana, CA 91356-3501
Phone (877) 406-2916
196 Cypress Ave
Santa Clara, CA 95050-2014
Phone (626) 244-8200
2000 Stadium Way
Los Angeles, CA 90026-2606
Phone (213) 250-4200
210 W San Bernardino Rd
Covina, CA 91723-1515
Phone (626) 331-7331
250 S Grand Ave
Glendora, CA 91741-4218
Phone (626) 963-8411
28078 Baxter Rd
Suite 530
Murrieta, CA 92563-1405
Phone 9515665229125
2975 Sycamore Dr
Simi Valley, CA 93065-1201
Phone (805) 955-6000
309 W Beverly Blvd
Montebello, CA 90640-4308
Phone (877) 406-2916
4929 Van Nuys Blvd
Van Nuys, CA 91403-1702
Phone (877) 406-2916
9041 Magnolia Ave
Suite 101
Riverside, CA 92503-3942
Phone (951) 687-5755
Hospital & facility affiliations
- Emanate Health Inter-Community Hospital
- Hollywood Presbyterian Medical Center
- Emanate Health Foothill Presbyterian Hospital
- Providence Cedars Sinai Tarzana Medical Center
- Mission Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.14 of 100
- Quality
- 84.79
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.15
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.21 of 100
- Quality
- 92.22
- Improvement activities
- 40
- Cost
- 74.96
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A113848 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Medical Doctors | Current | Accepting new patients | |
| Menalam Health Services PC | Current | Accepting new patients | |
| Mountain Communities Healthcare District | Current | Accepting new patients | |
| Mountain Communities Healthcare District | Current | Accepting new patients | |
| Focus Medical Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Breast Center of Irvine Inc | Current | Accepting new patients | |
| United Medical Imaging Healthcare, Inc. | Current | Accepting new patients | |
| United Medical Imaging Healthcare, Inc. | Current | Accepting new patients | |
| United Medical Doctors | Current | Accepting new patients | |
| Menalam Health Services PC | Diagnostic Radiology | Current | Accepting new patients |
| Reza Dehdari MD Inc | Diagnostic Radiology | Current | Accepting new patients |
| United Medical Imaging Healthcare, Inc. | Current | Accepting new patients | |
| Mountain Communities Healthcare District | Current | Accepting new patients | |
| Mani Sports Chiropractic Inc | Current | Accepting new patients | |
| Radiology Consultants, PC | Diagnostic Radiology | Past | Accepting new patients |
| Avalon Medical Development Corporation | Past | Accepting new patients | |
| Radiology Medical Group of WMMC | Diagnostic Radiology | Past | Accepting new patients |
| San Dimas Community Hospital, Inc. | Past | Accepting new patients | |
| Focus Medical Imaging | Diagnostic Radiology | Past | Accepting new patients |
Locations
2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191
11411 Brookshire Ave
Ste 101
Downey, CA 90241
Phone (562) 869-9192
521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560
267 S San Pedro St
Unit 261
Los Angeles, CA 90012
Phone (310) 600-3430
3513 Whittier Blvd
Los Angeles, CA 90023
Phone (323) 262-1814
309 W Beverly Blvd
Montebello, CA 90640
Phone (323) 725-4209
28078 Baxter Rd
Ste 530
Murrieta, CA 92563
Phone (951) 290-5472
400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398
301 Bayview Cir
Ste 105
Newport Beach, CA 92660
Phone (310) 736-4395
9041 Magnolia Ave
Ste 101
Riverside, CA 92503
Phone (951) 687-5755
2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500
22110 Roscoe Blvd
Ste 304
West Hills, CA 91304
Phone (818) 626-6482
Interoperability endpoints
- https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4
Organizations & group practices 19
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.
-
- Diagnostic Radiology Physician
- Monrovia, CA
- NPI 1528299989
-
- Hospitalist Physician
- Simi Valley, CA
- NPI 1114594967
-
- Gastroenterology Physician
- Murrieta, CA
- NPI 1770559981
-
- Medicare Defined Swing Bed Hospital Unit
- Weaverville, CA
- NPI 1407027568
-
- Critical Access Hospital
- Weaverville, CA
- NPI 1750462271
-
- Radiology Clinic/Center
- Downey, CA
- NPI 1760572036
-
- Diagnostic Radiology Physician
- Lake Forest, CA
- NPI 1083103006
-
- Mammography Clinic/Center
- Irvine, CA
- NPI 1881259901
-
- Chiropractor
- West Hills, CA
- NPI 1649677279
-
- Diagnostic Radiology Physician
- Glendora, CA
- NPI 1003779596
-
- Skilled Nursing Facility
- Weaverville, CA
- NPI 1154404010
-
- Orthopaedic Surgery Physician
- San Diego, CA
- NPI 1194554675
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1922033547
-
- General Acute Care Hospital
- Panorama City, CA
- NPI 1750365375
-
- General Acute Care Hospital
- Glendora, CA
- NPI 1992733513
-
- General Acute Care Hospital
- West Covina, CA
- NPI 1063441293
-
- Psychiatric Hospital Unit
- Covina, CA
- NPI 1215063151
-
- General Acute Care Hospital
- Covina, CA
- NPI 1982629440
-
- General Acute Care Hospital
- Tarzana, CA
- NPI 1821250762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1508024126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2615 SAINT SIMONS",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927821229",
"telephone_number": "714-456-7890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 SAINT SIMONS",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927821229",
"telephone_number": "714-456-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEHDARI",
"first_name": "REZA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-30",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A113848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.