Individual provider Active NPI

Ardeshir Edward Nadimi, M.D.

  • MOHS-Micrographic Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1992190417
Registry record updated Dec 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
A168788 Issued in CA
Practice address
12555 W Jefferson Blvd Ste 202
Los Angeles, CA 90066-7047
Phone
(424) 541-1756
NPI assigned
Apr 1, 2015
Last updated
Dec 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X A168788 CA Primary

Addresses

Primary practice location

12555 W Jefferson Blvd Ste 202
Los Angeles, CA 90066-7047

Mailing address

13700 Marina Pointe Dr Unit 721
Marina del Rey, CA 90292-9261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, MD, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20210920000258 VA Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 4688071640 Reassigns benefits to 2 organizations
I20211006001932 DC Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 4688071640 Reassigns benefits to 1 organization
I20211007001973 MD Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 4688071640 Reassigns benefits to 1 organization
I20241111003163 CA Practitioner - Dermatology 4688071640 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Eastern Virginia Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Artius Dermatology Associates PCGroup PAC ID 6305126780, 17 clinicians
Malcolm Ke MD a Professional CorporationGroup PAC ID 6901934009, 6 clinicians
California Dermatology Institute PCGroup PAC ID 6800177460, 25 clinicians
Skin and Beauty Center IncGroup PAC ID 8628170347, 34 clinicians

Practice addresses (Care Compare)

1337 S Lovers LN
Suite D
Visalia, CA 93292-5249
Phone (559) 627-9901

16960 Bastanchury Rd
Suite I
Yorba Linda, CA 92886-1711
Phone (714) 524-9700

5725 Soto St
Huntington Park, CA 90255-2630
Phone (888) 367-1850

9535 Reseda Blvd
Suite 304
Northridge, CA 91324-6029
Phone (818) 886-3884

Merit-based Incentive Payment System (MIPS)

Final score
93.87 of 100Reported as group
Quality
94.09
Promoting interoperability
92
Improvement activities
40
Cost
92.14

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision15
Removal of tissue13
Removal of skin lesions136
Removal of skin cancer146
Removal of nail tissue1-10
Skin biopsy38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A168788CAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin and Beauty Center Inc CurrentSince May 8, 2025 Accepting new patients
Sol Dermatology Associates Mohs-Micrographic Surgery CurrentSince Jan 1, 2026 Accepting new patients
Malcolm Ke, M.D., a Professional Corporation CurrentSince Oct 1, 2024 Accepting new patients
California Dermatology Institute PC Mohs-Micrographic Surgery CurrentSince Jan 20, 2026 Accepting new patients
Artius Dermatology Associates, P.C. CurrentSince Aug 29, 2025 Accepting new patients
La Laser Center, PC, a Professional Medical Corporation Mohs-Micrographic Surgery CurrentSince Apr 18, 2025 Accepting new patients
Northridge Dermatology Associates Medical Group Inc Current Accepting new patients
Warrenton Dermatology PC CurrentSince Apr 1, 2023 Accepting new patients
Scripps Health Current Accepting new patients
Don Mehrabi MD a Professional Medical Corporation CurrentSince Dec 1, 2025 Accepting new patients
Chico Dermatology Inc CurrentSince Oct 1, 2025 Accepting new patients
El Segundo Dermatology, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Derm Associates LLC CurrentSince Nov 1, 2021 Accepting new patients
Socal Skin and Surgery CurrentSince Dec 21, 2025 Accepting new patients
Dr. a.R. Bhupathy, Inc Current Accepting new patients
Skin and Beauty Center (SBC), Inc. CurrentSince May 8, 2025 Accepting new patients
La Laser Center PC, a Professional Medical Corporation PastSince Sep 1, 2024 Accepting new patients
La Laser Center PC, a Professional Medical Corporation PastSince Feb 1, 2020 Accepting new patients
Elizabeth Mitchell Dugan MD LLC Past Accepting new patients
Annapolis Dermatology Center, PA PastSince Jan 11, 1999 Accepting new patients
Providence Health System Southern California Past Accepting new patients
Ashley Magovern, MD Inc PastSince Mar 1, 2011 Accepting new patients

Locations (25 of 55)

310 S Halcyon Rd
Arroyo Grande, CA 93420
Phone (510) 917-2334

310 S Halcyon Rd
Ste 106
Arroyo Grande, CA 93420
Phone (805) 474-5807

300 Old River Rd
Ste 120
Bakersfield, CA 93311
Phone (661) 322-2700

4805 Centennial Plaza Way
Bakersfield, CA 93312
Phone (661) 322-2700

5600 California Ave
Bakersfield, CA 93309
Phone (661) 322-2700

5600 California Ave
Ste 101
Bakersfield, CA 93309
Phone (661) 322-2700

8605 Camino Media
Ste 300
Bakersfield, CA 93311
Phone (661) 322-2700

9735 Wilshire Blvd
Ste 421
Beverly Hills, CA 90212
Phone (310) 205-3555

621 W Line St
Ste 105
Bishop, CA 93514
Phone (760) 873-8781

191 S Buena Vista St
Ste 475
Burbank, CA 91505
Phone (818) 322-0126

774 East Ave
Chico, CA 95926
Phone (530) 774-2650

713 N Douglas St
El Segundo, CA 90245
Phone (310) 906-2788

16030 Ventura Blvd
Ste 140
Encino, CA 91436
Phone (310) 205-3555

6181 N Thesta St
Ste 104
Fresno, CA 93710
Phone (559) 418-5000

1505 Wilson Ter
Ste 240
Glendale, CA 91206
Phone (310) 205-3555

5725 Soto St
Huntington Pk, CA 90255
Phone (213) 583-8383

10884 Santa Monica Blvd
Ste 200
Los Angeles, CA 90025

12555 W Jefferson Blvd
Ste 202
Los Angeles, CA 90066
Phone (424) 541-1756

3150 G St
Ste D
Merced, CA 95340
Phone (209) 800-6000

3105 McHenry Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-2700

40663 Murrieta Hot Springs Rd
Ste C1
Murrieta, CA 92562
Phone (951) 200-6791

9535 Reseda Blvd
Ste 304
Northridge, CA 91324
Phone (818) 886-3884

74320 Highway 111
Palm Desert, CA 92260
Phone (760) 407-6420

74320 Highway 111
Ste 100
Palm Desert, CA 92260
Phone (760) 423-5610

631 W Avenue Q
Ste B
Palmdale, CA 93551
Phone (661) 425-0295

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: aenadimi@warrentonderm.emadirect.md
  • Direct secure messaging: anadimi@usdp7.emadirect.md
  • Direct secure messaging: anadimi376132@scrippshlth.medalliesdirect.net

Organizations & group practices 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766188800000",
    "number": "1992190417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 MARINA POINTE DR UNIT 721",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902929261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 W JEFFERSON BLVD STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900667047",
            "telephone_number": "424-541-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADIMI",
        "first_name": "ARDESHIR",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-01",
        "last_updated": "2025-12-20",
        "certification_date": "2025-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A168788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.