Ali Mehdizadeh (NPI# 1114151719, PAC ID# 8224200589) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1114151719 |
| PAC ID by PECOS | 8224200589 |
| Professional Enrollment ID | I20111010000122 |
| Full Name | Ali Mehdizadeh |
| Organization Legal Name | FACULTY PHYSICIANS AND SURGEONS OF LLUSM |
| Address |
1505 Wilson Ter Suite 155 Glendale CA 91206-4032 |
| Phone Number | 9095583636 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | ANESTHESIOLOGY |
| Secondary Specialties | CRITICAL CARE (INTENSIVISTS) |
| Group Practice PAC ID | 1153227814 |
| Number of Group Practice Members | 912 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050239 | GLENDALE ADVENTIST MEDICAL CENTER |
| 050129 | ST BERNARDINE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1505 Wilson Ter, Suite 155, Glendale, CA 91206-4032 | 9095583636 | FACULTY PHYSICIANS AND SURGEONS OF LLUSM |
| 2101 N Waterman Ave, San Bernadino, CA 92404-4836 | 9098838711 | INPATIENT SPECIALISTS OF CALIFORNIA PC |
| 275 Garnet Way B, Upland, CA 91786-5932 | 9092045000 | ROBERT MARRIOTT MEDICAL CORP |
| Organization Legal Name | FACULTY PHYSICIANS AND SURGEONS OF LLUSM |
| Physicians | 1002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ecler E Jaqua | Family Medicine | Faculty Physicians and Surgeons of Llusm | 25828 Redlands Blvd, Suite 102, Redlands, CA 92373-8450 |
| Lorraine Reverson Ray | Pediatric Medicine | Faculty Physicians and Surgeons of Llusm | 11441 Heacock St, Suite C, Moreno Valley, CA 92557-7907 |
| Mauna-loa Rodgers-blankenship | Nurse Practitioner | Faculty Physicians and Surgeons of Llusm | 81 S Highland Springs Ave, Beaumont, CA 92223-3170 |
| Davin Chu | Physical Medicine and Rehabilitation | Faculty Physicians and Surgeons of Llusm | 11406 Loma Linda Dr, Suite 300, Loma Linda, CA 92354-3711 |
| Ramachandran Pillai Promod Kumar | Neurosurgery | Faculty Physicians and Surgeons of Llusm | 16041 Kamana Rd A, Apple Valley, CA 92307-1331 |
| Biswas Joshi | Pulmonary Disease | Faculty Physicians and Surgeons of Llusm | 250 E Caroline St, Suite J, San Bernardino, CA 92408-3758 |
| Alexandra J Bandy | Nurse Practitioner | Faculty Physicians and Surgeons of Llusm | 11370 Anderson St, B100, Loma Linda, CA 92354-3400 |
| Brian R Hu | Urology | Faculty Physicians and Surgeons of Llusm | 11234 Anderson St, Loma Linda, CA 92354-2804 |
| Brian Wolk | Emergency Medicine | Faculty Physicians and Surgeons of Llusm | 328 Commercial Rd, Suite 101, San Bernardino, CA 92408-3766 |
| Ronald Bruce Johnson | Obstetrics/gynecology | Faculty Physicians and Surgeons of Llusm | 2195 Club Ctr Dr, Suite A, San Bernardino, CA 92408-4162 |
| Street Address |
1505 WILSON TER SUITE 155 |
| City | GLENDALE |
| State | CA |
| Zip | 91206-4032 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Selena A Lantry | Obstetrics/gynecology | 1505 Wilson Ter, Suite 130, Glendale, CA 91206-4074 | |
| Arin Aboulian | Pulmonary Disease | 1505 Wilson Ter, Suite 310, Glendale, CA 91206-4073 | |
| Yuri Falkinstein | Orthopedic Surgery | Orthopaedic Surgery Specialists Burbank | 1505 Wilson Ter, Suite 310, Glendale, CA 91206-4073 |
| Michael Frields | Obstetrics/gynecology | 1505 Wilson Ter, Glendale, CA 91206-4071 | |
| Nathalie Nguyen | Obstetrics/gynecology | Adventist Health Physicians Network | 1505 Wilson Ter, Suite 130, Glendale, CA 91206-4074 |
| Khaled M Selim | Gastroenterology | Faculty Physicians and Surgeons of Llusm | 1505 Wilson Ter, Suite 155, Glendale, CA 91206-4032 |
| Carissa Bencito | Nurse Practitioner | Edmund H Lew, Md, Inc | 1505 Wilson Ter, Suite 250, Glendale, CA 91206-4075 |
| Shant Shirvanian | Pulmonary Disease | 1505 Wilson Ter, Suite 310, Glendale, CA 91206-4073 | |
| Tae Youn Kim | Nurse Practitioner | Edmund H Lew, Md, Inc | 1505 Wilson Ter, Suite 250, Glendale, CA 91206-4075 |
| Dariush Arfaania | Nephrology | Kidney Disease Medical Group Inc | 1505 Wilson Ter, Suite 155, Glendale, CA 91206-4032 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandy Iv Salinas | Nurse Practitioner | Adventist Health Physicians Network | 544 N Glendale B, Glendale, CA 91206 |
| Carol Tong Ow | Nurse Practitioner | Adventist Health Physicians Network | 544 N Glendale B, Glendale, CA 91206 |
| James A Waters | Family Practice | Adventist Health Physicians Network | 544 N Glendale B, Glendale, CA 91206 |
| Robert B Freeman | General Surgery | Adventist Health Physicians Network | 544 N Glendale B, Glendale, CA 91206 |
| Matthew Henry Herrmann | Internal Medicine | Adventist Health Physicians Network | 544 N Glendale B, Glendale, CA 91206 |
| Artin Nazarian | Internal Medicine | 3721 Hampstead Rd, Glendale, CA 91206-1124 | |
| Katherine A Zalin | Chiropractic | 1010 N Glendale Ave, Suite 207, Glendale, CA 91206-2121 | |
| Arlene Tania Yepremian | Optometry | 839 N Glendale Ave, Jewel City Optometry, Glendale, CA 91206-2128 | |
| George F Chernich | Chiropractic | 1602 E Chevy Chase Dr, Glendale, CA 91206-2804 | |
| Melanie N Phan | Internal Medicine | County of Los Angeles | 501 N Glendale Ave, Glendale, CA 91206-3312 |
| Find all physicians in zip 91206 | |||
| City | GLENDALE |
| Zip Code | 91206 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | GLENDALE + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Ali Mehdizadeh.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.