Raza Mehdi, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C55124 Issued in CA

Practice address

40663 Murrieta Hot Springs Rd Ste C3
Murrieta, CA 92562-9015

Phone

(951) 677-5341

Fax

(951) 387-8004

NPI assigned

Sep 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Family PracticeAlso: Dermatology

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

La Laser Center PC a Professional Medical CorporationGroup PAC ID 9537181185, 81 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.69 of 100Reported as group

Quality

91.59

Promoting interoperability

94

Improvement activities

40

Cost

76.9

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 38)

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Dermaheal PC

  • Family Medicine Physician
  • Garden Grove, CA
  • NPI 1962386151

  Dermatology

  Medicare reassignment NPD Authorized official
• La Laser Center, PC, a Professional Medical Corporation

  • Multi-Specialty Clinic/Center
  • San Clemente, CA
  • NPI 1306982855

  Dermatology

  Medicare reassignment Care Compare group NPD
• Derma Noor, Inc.

  • Family Medicine Physician
  • Garden Grove, CA
  • NPI 1366903825
  Medicare reassignment Authorized official
• TND Healthcare Corp

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Lancaster, CA
  • NPI 1609690940
  Medicare reassignment NPD
• Bakersfield Memorial Hospital

  • Institutional Pharmacy
  • Bakersfield, CA
  • NPI 1144256363
  NPD (past)
• La Laser Center PC, a Professional Medical Corporation

  • Non-Pharmacy Dispensing Site
  • Visalia, CA
  • NPI 1083247795
  NPD (past)
• La Laser Center PC, a Professional Medical Corporation

  • Non-Pharmacy Dispensing Site
  • Turlock, CA
  • NPI 1356974059
  NPD (past)
• La Laser Center PC, a Professional Medical Corporation

  • Non-Pharmacy Dispensing Site
  • Redondo Beach, CA
  • NPI 1760017412
  NPD (past)
• Advocate Health and Hospitals Corporation

  • General Acute Care Hospital
  • Barrington, IL
  • NPI 1447368071
  NPD (past)
• Advocate Sherman Hospital

  • General Acute Care Hospital
  • Elgin, IL
  • NPI 1629026364
  NPD (past)
• Daniel Taheri MD Inc

  • Clinical & Laboratory Dermatological Immunology Physician
  • Las Vegas, NV
  • NPI 1922144450

  Dermatology

  NPD (past)
• Daniel Taheri MD PC

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1407992217

  Dermatology

  NPD (past)

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1902890296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 ARTESIA BLVD FL 2",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40663 MURRIETA HOT SPRINGS RD STE C3",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629015",
            "telephone_number": "951-677-5341",
            "fax_number": "951-387-8004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1345 Ryan Pkwy",
            "address_purpose": "LOCATION",
            "city": "Algonquin",
            "state": "IL",
            "postal_code": "601024530",
            "country_code": "US",
            "telephone_number": "847-658-9555",
            "fax_number": "847-658-2167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1345 Ryan Pkwy",
            "address_purpose": "LOCATION",
            "city": "Algonquin",
            "state": "IL",
            "postal_code": "601024530",
            "country_code": "US",
            "telephone_number": "847-658-9555",
            "fax_number": "847-658-2167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHDI",
        "first_name": "RAZA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "C55124",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036095111",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C55124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL LICENSE",
            "identifier": "C55124",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haley Medina
• Kateline Medina, LICENSED
• Naomie Medina
• Alexa Marie Medjo, PA-C
• Meerweis Stanisai Dental Corporation
• Ali Mehrabian, DDS
• Mehran Motamed, MD, PC
• Ma Christina Mejia
• Teveka Melanson
• Andrea Melgoza

• Family Medicine Physician in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.