Hma Mahdavi, M.D.

Primary specialty

Pediatric Nephrology PhysicianTaxonomy code 2080P0210X

License

A72759 Issued in CA

Practice address

1760 Termino Ave Ste 214
Long Beach, CA 90804-2169

Phone

(562) 933-6933

Fax

(562) 933-6939

NPI assigned

Oct 11, 2006

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

• Dr. Homa Mahdavi Pezeshkian Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alex a Pezeshkian DMD Ms Inc

  dba Orange Valley Periodontal Care

  • Periodontics
  • Cypress, CA
  • NPI 1346788981
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780773721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BALL RD STE 310",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906303966",
            "telephone_number": "714-220-9486",
            "fax_number": "714-220-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 TERMINO AVE STE 214",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042169",
            "telephone_number": "562-933-6933",
            "fax_number": "562-933-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHDAVI",
        "first_name": "HMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "CA",
            "license": "A72759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOMA",
            "last_name": "PEZESHKIAN",
            "middle_name": "MAHDAVI",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mah Home Services
• Melisha Mahakumara
• Michael J Mahan
• Animesh Mahapatra, MD
• Cellina Maharjan, MD
• Kevin Patrick Maher, M.D.
• Megan Nicole Maher
• Shona Orfirer Maher
• Kimia F Maheri, DDS
• Zanjbeel Mahmood, PH.D.

• Pediatric Nephrology Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Pediatric Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.