Active NPI
Mehdi Habibi, MD, Inc.
- Neurological Surgery Physician
- Los Angeles, CA
National Provider Identifier
1649404534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- A39878
- Legal business name
- MEHDI HABIBI, MD, INC.
- Practice address
- 1300 N Vermont Ave
Suite 504
Los Angeles, CA 90027-6005 - Phone
- (323) 665-4690
- Fax
- (323) 665-8637
- NPI assigned
- May 7, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mehdi Habibi, M. D.
- Title
- Doctor
- Phone
- (323) 665-4690
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | A39878 | CA | Primary |
Addresses
Primary practice location
1300 N Vermont Ave
Suite 504
Los Angeles, CA 90027-6005
Mailing address
1300 North Vermont Ave
Suite 504
Los Angeles, CA 90027-6005
Phone (323) 665-4690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083759997 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241654400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410393600000",
"number": "1649404534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 NORTH VERMONT AVE",
"address_2": "SUITE 504",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276005",
"telephone_number": "323-665-4690",
"fax_number": "323-665-8637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N VERMONT AVE",
"address_2": "SUITE 504",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276005",
"telephone_number": "323-665-4690",
"fax_number": "323-665-8637"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEHDI HABIBI, MD, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-07",
"last_updated": "2014-09-11",
"status": "A",
"authorized_official_last_name": "HABIBI",
"authorized_official_first_name": "MEHDI",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "323-665-4690",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M. D."
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "CA",
"license": "A39878",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1083759997",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.