Mahdi Paridari, M.D. Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A98666 Issued in CA

Legal business name

MAHDI PARIDARI, M.D. INC.

Practice address

22030 Sherman Way Ste 105
Canoga Park, CA 91303-3016

Phone

(818) 585-5595

Fax

(818) 887-1805

NPI assigned

Feb 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Mahdi Paridari, M.D.NPI 1669689451

Title

President

Phone

(818) 585-5595

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Mahdi Paridari, M.D.

  • Family Medicine Physician
  • Northridge, CA
  • NPI 1669689451
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1902046428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22405 GILMORE ST",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913073707",
            "telephone_number": "818-585-5595",
            "fax_number": "818-887-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22030 SHERMAN WAY STE 105",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033016",
            "telephone_number": "818-585-5595",
            "fax_number": "818-887-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHDI PARIDARI, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "PARIDARI",
        "authorized_official_first_name": "MAHDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "18185855595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A98666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tony Mai, PHARMD
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• Wervonn Esteban Malabanan, PT
• Kimberly Maldonado

• Primary Care Clinic/Center in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.