Dermaheal PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DERMAHEAL PC

Practice address

14331 Euclid St Ste 104
Garden Grove, CA 92843-6509

Phone

(630) 808-5123

NPI assigned

Aug 1, 2025

Organization subpart

No

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

Authorized official

Name

Raza Mehdi, MDNPI 1902890296

Title

Ceo

Phone

(630) 808-5123

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Raza Mehdi, MD

  • Family Medicine Physician
  • Murrieta, CA
  • NPI 1902890296

  Dermatology

  Medicare reassignment NPD Authorized official
• Nyssa Fromuth, P.A.

  • Physician Assistant
  • Covina, CA
  • NPI 1568814408
  Medicare reassignment NPD

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1962386151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14331 EUCLID ST STE 104",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928436509",
            "telephone_number": "630-808-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14331 EUCLID ST STE 104",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928436509",
            "telephone_number": "630-808-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMAHEAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "MEHDI",
        "authorized_official_first_name": "RAZA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-808-5123",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Group of Orange County
• Dentsmile Dental, Corporation
• Mohammad Derakhshan
• Stacy Derenard, M.A., CCC-SLP
• Derma Noor, Inc.
• Riley Jane Desmarais
• Devin Pagett Chiropractic Inc.
• Hera Ishrat Dewan, QMHA
• Naveen Dhar, M.D.
• Sweety Rani Dhar

• Family Medicine Physician in Garden Grove, CA
• Providers in Garden Grove, 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 Aug 1, 2025; 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.