Mohammad Dastjerdi
Individual provider Active NPI Neurology Physician · Loma Linda, CA
NPI 1508200940 · NPPES record last updated Jan 30, 2026
Key facts
- NPI
- 1508200940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- A137935 (CA)
- Practice address
- 11370 Anderson St Ste B100
Loma Linda, CA 92354-3450 - Phone
- (909) 558-2880
- NPI assigned
- Apr 27, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 23
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Faculty Physicians and Surgeons of Llusm
Sac Health System
Practice addresses (Care Compare)
11234 Anderson St
Loma Linda, CA 92354-2804
11370 Anderson St
Loma Linda, CA 92354-3450
1454 E 2ND St
San Bernardino, CA 92408-0118
Phone (909) 382-7100
250 S G St
San Bernardino, CA 92410-3320
Phone (909) 382-7100
26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone (951) 486-4000
488 S K St
San Bernardino, CA 92410-2641
Phone (909) 383-8092
File Number
Suite 54701
Los Angeles, CA 90074-4701
Hospital & facility affiliations
- Loma Linda University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.87 of 100
- Quality
- 72.13
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 77.36
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181011000803 | CA | Practitioner - Neurology | 7416209929 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A137935 | CA | MD | Epilepsy Physician |
Practice roles (10 of 11)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current |
Accepting new patients | |
| Sac Health System | Current |
Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current |
Accepting new patients | |
| Sac Health System | Current |
Accepting new patients | |
| Sac Health System | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients | |
| Riverside Healthcare System, L.P. | Past | Accepting new patients | |
| Loma Linda University Children'S Hospital | Past | Accepting new patients | |
| Loma Linda University Medical Center | Past | Accepting new patients |
Locations
82934 Civic Center Dr
Indio, CA 92201
Phone (760) 477-0733
25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
11370 Anderson St
Ste B100
Loma Linda, CA 92354
Phone (909) 558-2848
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
28078 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000
1003 E Brier Dr
San Bernardino, CA 92408
1455 3rd Ave
Sn Bernrdno, CA 92408
Phone (909) 382-7146
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- mdastjerdi62268@direct.llu.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A137935 | CA | Yes |
| Epilepsy Physician | 2084E0001X | A137935 | CA |
Addresses
Primary practice location
11370 Anderson St Ste B100
Loma Linda, CA 92354-3450
Mailing address
File Number 54701
Los Angeles, CA 90074-4701
Other providers in Loma Linda, CA
- Ghaleb Azmi Darwazeh
- Tarneem Darwish
- Khashayar Dashtipour
- Adley Chris Dason
- Rachel Dason
- Vishvanath V Date
- Jodi Datema
- Robin Daughenbaugh
- Christopher Bryan Daum
- Rachel Elizabeth Gelfond Davidge
All providers in Loma Linda, CA · Neurology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.