Active NPI
Mehran A Okhovat, MD
- Family Medicine Physician
- Northridge, CA
National Provider Identifier
1508967167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G076549
- Practice address
- 18350 Roscoe Blvd
Suite 600
Northridge, CA 91325 - Phone
- (818) 727-1515
- Fax
- (818) 727-7997
- NPI assigned
- Sep 26, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G076549 | CA | Primary |
Addresses
Primary practice location
18350 Roscoe Blvd
Suite 600
Northridge, CA 91325
Mailing address
18350 Roscoe Blvd
Suite 600
Northridge, CA 91325
Phone (818) 727-1515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0061720 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 92.78 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 55.19
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G076549 | CA | MD | Family Medicine Physician |
| 76549 | CA | MD | Massage Therapist |
Interoperability endpoints
- mehran.okhovat@557989766037508.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451433600000",
"number": "1508967167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18350 ROSCOE BLVD",
"address_2": "SUITE 600",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "91325",
"telephone_number": "818-727-1515",
"fax_number": "818-727-7997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18350 ROSCOE BLVD",
"address_2": "SUITE 600",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "91325",
"telephone_number": "818-727-1515",
"fax_number": "818-727-7997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKHOVAT",
"first_name": "MEHRAN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2015-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G076549",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0061720",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.