Individual provider Active NPI

Payam Mehranpour, M.D.

  • Interventional Cardiology Physician
  • La Mesa, CA
National Provider Identifier
1790897387
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A112670 Issued in CA
Practice address
8851 Center Dr
Suite 405
La Mesa, CA 91942-3017
Phone
(619) 377-6262
Fax
(888) 533-3130
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 056589 GA
Cardiovascular Disease Physician 207RC0000X A112670 CA
Interventional Cardiology Physician 207RI0011X A112670 CA Primary

Addresses

Primary practice location

8851 Center Dr
Suite 405
La Mesa, CA 91942-3017

Mailing address

8851 Center Dr
Suite 405
La Mesa, CA 91942-3017
Phone (619) 377-6262

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101228000043 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6507875846 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians
Payam Mehranpour IncGroup PAC ID 5294988861, 6 clinicians

Practice addresses (Care Compare)

1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552
Phone (707) 429-3600

5555 Grossmont Ctr Dr
La Mesa, CA 91942-3019
Phone (619) 740-6000

7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400

8851 Ctr Dr
Suite 405
La Mesa, CA 91942-3198
Phone (619) 377-6262

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting26
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
056589GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Aug 4, 2013 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Dec 1, 2014 Accepting new patients
Northbay Healthcare Group CurrentSince Jul 1, 2024 Accepting new patients
Northbay Healthcare Group CurrentSince Jul 1, 2024 Accepting new patients
Payam Mehranpour, Inc. Cardiovascular Disease CurrentSince Oct 2, 2012 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Internal Medicine CurrentSince Dec 1, 2014 Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients
Adventist Health System Georgia, Inc. Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients

Locations

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

8851 Center Dr
Ste 405
La Mesa, CA 91942
Phone (619) 377-6262

5565 Grossmont Center Dr
Ste 455
La Mesa, CA 91942
Phone (619) 462-9353

5565 Grossmont Center Dr
Ste 455
La Mesa, CA 91942
Phone (619) 462-9353

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1790897387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR",
            "address_2": "SUITE 405",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423017",
            "telephone_number": "619-377-6262",
            "fax_number": "888-533-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR",
            "address_2": "SUITE 405",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423017",
            "telephone_number": "619-377-6262",
            "fax_number": "888-533-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHRANPOUR",
        "first_name": "PAYAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "056589",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A112670",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A112670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.