Individual provider Active NPI

Reza Dehdari, M.D.

  • Diagnostic Radiology Physician
  • Tustin, CA
National Provider Identifier
1508024126
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A113848 Issued in CA
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121023000634 CA Practitioner - Diagnostic Radiology 6800046137 Reassigns benefits to 6 organizations

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
Focus Medical ImagingGroup PAC ID 6406999259, 95 clinicians
Menalam Health Services PCGroup PAC ID 7012319163, 89 clinicians
United Medical DoctorsGroup PAC ID 2961305651, 168 clinicians

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 Hospital, Covina, CA, CCN 050382
  • Hollywood Presbyterian Medical Center Hospital, Los Angeles, CA, CCN 050063
  • Emanate Health Foothill Presbyterian Hospital Hospital, Glendora, CA, CCN 050597
  • Providence Cedars Sinai Tarzana Medical Center Hospital, Tarzana, CA, CCN 050761
  • Mission Community Hospital Hospital, Panorama City, CA, CCN 050704

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
98.21 of 100Reported as group
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

LicenseStateTypeSpecialty
A113848CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Doctors CurrentSince Jan 30, 2021 Accepting new patients
Menalam Health Services PC CurrentSince Jan 1, 2026 Accepting new patients
Mountain Communities Healthcare District CurrentSince Apr 25, 2023 Accepting new patients
Mountain Communities Healthcare District Current Accepting new patients
Focus Medical Imaging Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Breast Center of Irvine Inc CurrentSince Aug 17, 2020 Accepting new patients
United Medical Imaging Healthcare, Inc. CurrentSince Oct 1, 2019 Accepting new patients
United Medical Imaging Healthcare, Inc. Current Accepting new patients
United Medical Doctors CurrentSince Jan 30, 2021 Accepting new patients
Menalam Health Services PC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Reza Dehdari MD Inc Diagnostic Radiology Current Accepting new patients
United Medical Imaging Healthcare, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Mountain Communities Healthcare District CurrentSince Apr 25, 2023 Accepting new patients
Mani Sports Chiropractic Inc CurrentSince Jul 18, 2018 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 PastSince Apr 1, 2025 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

  • FHIR API: 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.

View all 19

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.