Organization Active NPI

Mehdi Akhavan-Heidari MD Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Stockton, CA
National Provider Identifier
1982064754
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
MEHDI AKHAVAN-HEIDARI MD INC
Practice address
1617 N California St
Suite 1D
Stockton, CA 95204-6117
Phone
(209) 948-1234
Fax
(209) 462-9233
NPI assigned
Mar 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Authorized official

Name
Mehdi Akhavan-Heidari, MD
Title
MD
Phone
(209) 948-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X Primary

Addresses

Primary practice location

1617 N California St
Suite 1D
Stockton, CA 95204-6117

Mailing address

1617 N California St
Suite 1D
Stockton, CA 95204-6117
Phone (209) 948-1234

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1982064754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 N CALIFORNIA ST",
            "address_2": "SUITE 1D",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046117",
            "telephone_number": "209-948-1234",
            "fax_number": "209-462-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 N CALIFORNIA ST",
            "address_2": "SUITE 1D",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046117",
            "telephone_number": "209-948-1234",
            "fax_number": "209-462-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHDI AKHAVAN-HEIDARI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "AKHAVAN-HEIDARI",
        "authorized_official_first_name": "MEHDI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "209-948-1234",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.