Individual provider Active NPI

Mehran Tofighrad, DPM

  • Podiatrist
  • Los Angeles, CA
National Provider Identifier
1770570988
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4020 Issued in CA
Practice address
12340 Santa Monica Blvd
221
Los Angeles, CA 90025-2594
Phone
(310) 447-0700
Fax
(310) 447-0701
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E4020 CA Primary

Addresses

Primary practice location

12340 Santa Monica Blvd
221
Los Angeles, CA 90025-2594

Mailing address

12340 Santa Monica Blvd
221
Los Angeles, CA 90025-2500
Phone (310) 447-0700

Other identifiers 2

IdentifierTypeStateIssuer
000E40201MedicaidCA
000E40202MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101021000030 CA Practitioner - Podiatry 5193836328 Practice locations: Beverly Hills, CA; Los Angeles, CA
O20100930044417 CA DME Supplier - Physician - Podiatry 6002927233 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12340 Santa Monica Blvd
Los Angeles, CA 90025-2594
Phone (310) 447-0700

8500 Wilshire Blvd
Suite 707
Beverly Hills, CA 90211-3105
Phone (310) 358-0300

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal17
Removal of tissue50
Removal of skin lesions1-10
Removal of nail tissue1551
Removal or shaving of skin growth1851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1770570988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12340 SANTA MONICA BLVD",
            "address_2": "221",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252500",
            "telephone_number": "310-447-0700",
            "fax_number": "310-447-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12340 SANTA MONICA BLVD",
            "address_2": "221",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252594",
            "telephone_number": "310-447-0700",
            "fax_number": "310-447-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOFIGHRAD",
        "first_name": "MEHRAN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E40201",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E40202",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.