Mona Maghsoodi-Deerwester, MD, M.SC

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

A186745 Issued in CA

Practice address

101 E Redlands Blvd Ste 284
Redlands, CA 92373-4721

Phone

(909) 707-5979

NPI assigned

May 19, 2018

Last updated

Jul 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mona Deerwester Professional name

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

PathologyAlso: Dermatology

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pacific Dermatology InstituteGroup PAC ID 2062546260, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Pacific Dermatology Institute

  • Dermatology Physician
  • Corona, CA
  • NPI 1740410182

  Dermatopathology

  Medicare reassignment Care Compare group NPD
• Incyte Pathology, PLLC

  dba InCyte Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Spokane Valley, WA
  • NPI 1326086745

  ID

  Medicare reassignment
• Bradley Mudge MD Inc

  dba Novare Plastic Surgery and Skin Care Center

  • Plastic Surgery Physician
  • Newport Beach, CA
  • NPI 1548324791
  NPD (past)

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

{
    "created_epoch": "1526688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689379200000",
    "number": "1700377371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E REDLANDS BLVD STE 284",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734721",
            "telephone_number": "909-707-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E REDLANDS BLVD STE 284",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734721",
            "telephone_number": "909-707-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGHSOODI-DEERWESTER",
        "first_name": "MONA",
        "credential": "MD, M.SC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-19",
        "last_updated": "2023-07-15",
        "certification_date": "2023-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "A186745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONA",
            "last_name": "DEERWESTER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Madeline C Douglas
• Maefers LLC (Scepter Medtrans)
• Heidi Maekawa
• Joni Magat, RPH
• Cecilia Magdael, LVN
• Kolina Catherine Mah-Ginn
• Paymohn Mahdavi, M.D.
• Lina E Mahli
• Janyce Ngoc Mai
• Mary M Mailander, M.D.

• Dermatopathology Physician in Redlands, CA
• Providers in Redlands, CA by specialty
• Dermatopathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2023; 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.

Verify at the official NPI Registry.