Abbas Mahdavi MD Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A31325 Issued in CA

Legal business name

ABBAS MAHDAVI MD INC

Practice address

3700 Sunset LN Ste 3
Antioch, CA 94509-6123

Phone

(925) 754-7200

NPI assigned

Jul 24, 2014

Organization subpart

No

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

Authorized official

Name

Abbas Mahdavi, MDNPI 1194134049

Title

Owner

Phone

(925) 754-1200

Specialties & licenses 1

Addresses

Tax ID family

Abbas Mahdavi MD Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Abbas Mahdavi MD

  • Pediatrics Physician
  • Antioch, CA
  • NPI 1992842918
  NPD tax ID
• Delta Pediatrics Medical Group, Inc.

  • Preferred Provider Organization
  • Antioch, CA
  • NPI 1750334660
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abbas Mahdavi, MD

  • Pediatrics Physician
  • Antioch, CA
  • NPI 1194134049
  NPD (past) Authorized official

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1861800633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 SUNSET LN STE 3",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096123",
            "telephone_number": "925-754-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 SUNSET LN STE 3",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096123",
            "telephone_number": "925-754-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBAS MAHDAVI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "MAHDAVI",
        "authorized_official_first_name": "ABBAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-754-1200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A31325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maria Abarca
• Abbas Mahdavi MD
• Triveni Abburi, M.D.
• Nayyirah Glori'Ya Abdulsalam
• Judith Abesamis
• Tonia M Abloogalook
• Sanaz Stacy Aboutalebi-Simon, O.D.

• Pediatrics Physician in Antioch, CA
• Providers in Antioch, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.