NPIMap

Individual provider Active NPI

Mehrdad Ghahremani-Ghajar, D.O.

  • Internal Medicine Physician
  • Rialto, CA
National Provider Identifier
1942510607
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A11526 Issued in CA
Practice address
2248 N Milor Ave
Rialto, CA 92377-4675
Phone
(909) 472-8375
NPI assigned
Oct 15, 2010
Last updated
May 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 20A11526 CA Primary

Addresses

Primary practice location

2248 N Milor Ave
Rialto, CA 92377-4675

Mailing address

2248 N Milor Ave
Rialto, CA 92377-4675

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120912000402 CA Practitioner - General PracticePractitioner - Internal MedicinePractitioner - Neurology 3072761337 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Internal Medicine, Neurology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Quantum Healthcare Medical Associates IncGroup PAC ID 5294647574, 109 clinicians
Inland Empire Nephrology IncGroup PAC ID 7911267588, 6 clinicians

Practice addresses (Care Compare)

10800 Magnolia Ave
Riverside, CA 92505-3043
Phone (951) 353-2000

27300 Iris Ave
Moreno Valley, CA 92555-4802
Phone (951) 243-0811

27350 Iris Ave
Moreno Valley, CA 92555-4802
Phone (866) 984-7483

400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11526CAMDAcupuncturist
20A11526CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnovera Inc Current Accepting new patients
Medmile Inc Current Accepting new patients
Clinic Services of California Medical Group Inc CurrentSince Aug 1, 2018 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 16, 2021 Accepting new patients
Carvajal & Alquiroz Mobile Professionals Inc- a Professional N CurrentSince Aug 19, 2022 Accepting new patients
Quantum Healthcare Medical Associates Inc. Internal Medicine CurrentSince Oct 15, 2017 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 16, 2021 Accepting new patients
Inland Empire Nephrology, Inc. CurrentSince Nov 19, 2019 Accepting new patients
Redlands Community Hospital Past Accepting new patients

Locations

400 N Pepper Ave
Ofc Of
Colton, CA 92324

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400

121 W Lexington Dr
Ste 303B
Glendale, CA 91203
Phone (818) 671-0012

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

10800 Magnolia Ave
Riverside, CA 92505
Phone (951) 353-2000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Blendship IncUpland, CA, CCN 751749 Hospice Contracted Managing Employee Mar 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1942510607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2248 N MILOR AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923774675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2248 N MILOR AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923774675",
            "telephone_number": "909-472-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAHREMANI-GHAJAR",
        "first_name": "MEHRDAD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-15",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A11526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "10800 Magnolia Ave",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925053043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rialto, CA

Sources for this page

Verify at the official NPI Registry.