Ramin Mehdian Medical Corporation

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

A62908 Issued in CA

Legal business name

RAMIN MEHDIAN MEDICAL CORPORATION

Practice address

1000 Newbury Rd
Suite 275
Newbury Park, CA 91320-6435

Phone

(805) 499-4143

Fax

(805) 499-4160

NPI assigned

Jul 17, 2008

Last updated

Feb 27, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ramin Mehdian, M.D.NPI 1053457127

Title

President

Phone

(805) 499-4143

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ramin Mehdian, M.D.

  • Pulmonary Disease Physician
  • Newbury Park, CA
  • NPI 1053457127
  Medicare reassignment NPD Authorized official
• Melanie Hollis Pingel, NP

  • Nurse Practitioner
  • Corona, CA
  • NPI 1114611761
  Medicare reassignment NPD

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1699939652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77790",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928770126",
            "telephone_number": "951-278-5590",
            "fax_number": "951-272-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NEWBURY RD",
            "address_2": "SUITE 275",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206435",
            "telephone_number": "805-499-4143",
            "fax_number": "805-499-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMIN MEHDIAN MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "MEHDIAN",
        "authorized_official_first_name": "RAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-499-4143",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "A62908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A629080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda L Prince, LMFT
• John Hayden Pryor
• Bobbie E Quigley, M.S, M.A
• Corrin Michelle Rakowski, MS, CTRS
• Ralphs Grocery Company (Ralphs Pharmacy)
• Genesis Ramirez
• Kathleen Luna Reimers
• Lauryn Reinhardt, PHARM.D.
• Richard Reiss, DC
• Valarie Christine Renaux, RN, MSN, FNP

• Multi-Specialty Clinic/Center in Newbury Park, CA
• Providers in Newbury Park, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.

Verify at the official NPI Registry.