Meghan Zomorodi, D.O.

Key facts

NPI

1629501937

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

18426 (CA)

Practice address

100 Falls Canyon Road
Avalon, CA 90704-2990

Phone

(310) 510-0096

Fax

(310) 510-2381

NPI assigned

Apr 4, 2017

Sex

Female

Sole proprietor

No

Organizations & group practices 5

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.

• Avalon Medical Development Corporation Critical Access Hospital · Avalon, CA · NPI 1346250347
  Medicare reassignment Care Compare group NPD CA
• Gottlieb Community Health Services Corporation Psychiatric Hospital Unit · Berwyn, IL · NPI 1700864352
  NPD (past)
• Loyola University Medical Center General Practice Physician · Maywood, IL · NPI 1336159961
  NPD (past)
• Northwestern Memorial Hospital General Acute Care Hospital · Chicago, IL · NPI 1578672895
  NPD (past)
• Northwestern Memorial Hospital General Acute Care Hospital · Chicago, IL · NPI 1861609208
  NPD (past)

Hospital & facility affiliations 1

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

• Avalon Medical Development Corporation Critical Access Hospital · Avalon, CA · NPI 1346250347
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Family Practice
Also: Sports Medicine

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Avalon Medical Development Corporation (28 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Catalina Island Medical Center Hospital · Avalon, CA · CCN 051307

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in IL, CA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: meghan.zomorodi.1@14021.direct.athenahealth.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 14, 2025.

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1629501937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1563",
            "city": "AVALON",
            "state": "CA",
            "postal_code": "907042990",
            "telephone_number": "310-510-0096",
            "fax_number": "310-510-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FALLS CANYON ROAD",
            "city": "AVALON",
            "state": "CA",
            "postal_code": "907042990",
            "telephone_number": "310-510-0096",
            "fax_number": "310-510-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOMORODI",
        "first_name": "MEGHAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2025-03-14",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "18426",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036152801",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "18426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Avalon, CA · Family Medicine Physician in California