Active NPI
Dean Ferdows, M.D.
- General Practice Physician
- Maywood, CA
National Provider Identifier
1679587091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A46360
- Practice address
- 4316 Slauson Ave
Maywood, CA 90270-2838 - Phone
- (323) 773-2020
- Fax
- (323) 771-6069
- NPI assigned
- Jul 28, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A46360 | CA | Primary |
Addresses
Primary practice location
4316 Slauson Ave
Maywood, CA 90270-2838
Mailing address
PO Box 412
Pacific Palisades, CA 90272-0412
Phone (323) 773-2020
Other names 1
- Mr. Majdedin Ferdows
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060227000369 | CA | Practitioner - General Practice | 6507872660 | Practice locations: Maywood, CA |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4316 Slauson Ave
Maywood, CA 90270-2838
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A46360 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dean Ferdows MD Inc | General Practice | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Maywood, CA
- NPI 1275704579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679587091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 412",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "902720412",
"telephone_number": "323-773-2020",
"fax_number": "323-771-6069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4316 SLAUSON AVE",
"city": "MAYWOOD",
"state": "CA",
"postal_code": "902702838",
"telephone_number": "323-773-2020",
"fax_number": "323-771-6069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERDOWS",
"first_name": "DEAN",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A46360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAJDEDIN",
"last_name": "FERDOWS",
"prefix": "MR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
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- Functional Restoration Medical Center, Inc, (Maywood Open MRI)
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.