Mehrdad Khodadoostan, MD

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E6264 Issued in CA

Practice address

18650 Macarthur Blvd Ste 450
Irvine, CA 92612-1253

Phone

(949) 570-7750

NPI assigned

Apr 7, 2023

Last updated

Jul 9, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Podiatry

Education

Western Un of HLTH Sciences, Col of Podiatric Med, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Dazzle Health P C

  • Family Medicine Physician
  • Tustin, CA
  • NPI 1578301495
  NPD

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1780379594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19528 VENTURA BLVD APT 711",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562917",
            "telephone_number": "310-245-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18650 MACARTHUR BLVD STE 450",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121253",
            "telephone_number": "949-570-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHODADOOSTAN",
        "first_name": "MEHRDAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-07",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E6264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sameer Khatri
• Benjamin Melvin Khaw, DMD
• Thaer Eid Khdeir
• Elena Khegay
• Jasmine Marrie Khoan
• Neda Courtney Khodai, DDS
• Reza Khodaverdian, M.D.
• Elani Kietheang Khoe
• Niloufar Khorasanifar
• Afagh Khorashadi, M.D.

• Foot & Ankle Surgery Podiatrist in Irvine, CA
• Providers in Irvine, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.