Individual provider Active NPI

Mehran Nowfar-Rad, M.D.

  • Dermatopathology Physician
  • Pasadena, CA
National Provider Identifier
1912979048
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
A66360 Issued in CA
Practice address
675 S Arroyo Pkwy
Pasadena, CA 91105-3263
Phone
(626) 304-6300
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X A66360 CA Primary

Addresses

Primary practice location

675 S Arroyo Pkwy
Pasadena, CA 91105-3263

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (714) 443-4512

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
I20051024001136 CA Practitioner - Dermatology 8820015340 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Southern California Keck School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare Partners Affiliates Medical GroupGroup PAC ID 7315842002, 775 clinicians

Practice addresses (Care Compare)

50 Bellefontaine St
Pasadena, CA 91105-3132
Phone (626) 304-6300

Merit-based Incentive Payment System (MIPS)

Final score
80.57 of 100Reported as group
Quality
62.42
Promoting interoperability
76
Improvement activities
40
Cost
76.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions52
Skin biopsy81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A66360CAMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Sep 25, 2024 Accepting new patients
Lakeside Medical Organization, a Medical Group Inc. CurrentSince Aug 19, 2019 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Sep 25, 2024 Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

191 S Buena Vista St
Ste 200
Burbank, CA 91505
Phone (818) 887-2671

2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

8510 Balboa Blvd
Ste 150
Northridge, CA 91325
Phone (818) 637-2000

675 S Arroyo Pkwy
Ste 420430
Pasadena, CA 91105

50 Bellefontaine St
Ste 104
Pasadena, CA 91105
Phone (626) 304-6300

675 S Arroyo Pkwy
Pasadena, CA 91105
Phone (626) 585-4120

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

7325 Medical Ctr
Ste 300
West Hills, CA 91307
Phone (818) 226-3666

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mehran.nowfarrad.p1@direct.lakeside.nextgenshare.com
  • Direct secure messaging: mnowfarrad207065@westdirect.optum.com
  • Direct secure messaging: mnowfarrad795373@oc.providencedirect.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1912979048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "714-443-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 S ARROYO PKWY",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053263",
            "telephone_number": "626-304-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWFAR-RAD",
        "first_name": "MEHRAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "A66360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.