Mehdi Mahmoodzadegan, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

C38367 Issued in CA

Practice address

24001 Park Granada
Calabasas, CA 91302-2528

Phone

(818) 223-9223

NPI assigned

Oct 25, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1689853699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24001 PARK GRANADA",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913022528",
            "telephone_number": "818-223-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24001 PARK GRANADA",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913022528",
            "telephone_number": "818-223-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOODZADEGAN",
        "first_name": "MEHDI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-25",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "C38367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3005022061",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3005041671",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RADIOLOGY",
            "identifier": "4301032665",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Beth Luftman, MD
• Daria Lukonina, PHARM.D.
• Margarita Lupan, FNP
• Lynn Valverde Marriage & Family Therapy Prof Corp
• Sharon Kim Macaluso, M.D.
• Ksenia Maksimova, NP-BC
• Naysan Malakouti-Nejad
• Haleh Malek, PSYD
• Malibu Balance Day Treatment
• Malibu Canyon Rehab Corporation

• Specialist in Calabasas, CA
• Providers in Calabasas, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.