MEHRAN MANDEGAR


Address: 5555 Grossmont Center Dr, La Mesa, CA 91942-3019
Phone: 8886648297

MEHRAN MANDEGAR (NPI# 1174689335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174689335
Entity Type Individual
Full Name MEHRAN MANDEGAR
Credential M.D.
Practice Address 5555 Grossmont Center Dr
La Mesa
CA 91942-3019
Mailing Address Po Box 26940
San Diego
CA 92196-0940
Practice Telephone 8886648297
Practice Fax Number 8016506861
Mailing Telephone 8886648297
Mailing Fax Number 8016506861
Enumeration Date 2006-12-29
Last Update Date 2016-07-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
A63770 CA Allopathic & Osteopathic Physicians
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
A63770 CA Allopathic & Osteopathic Physicians
N 208M00000X Hospitalist A63770 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 1911036 05

Office Location

Street Address 5555 GROSSMONT CENTER DR
City LA MESA
State CA
Zip Code 91942-3019

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770589293 Raed A Al-naser Internal Medicine 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 2005-06-21
1568062552 Justin Cantley Nurse Practitioner 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 2020-10-28
1942828314 Honey Mae Cosare Surmillon Licensed Vocational Nurse 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 2020-07-11
1922632801 Susan Daniels Occupational Therapist 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 2020-02-28
1457917791 Elpitha K Tsiskakis Physician Assistant 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 2019-05-13
1336601053 Diane Wade Bloomberg Dietitian, Registered 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 2019-04-02
1265992846 Vincent Crump Registered Nurse 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 2019-03-21
1295210029 United Urology Consultants, P.C. Urology 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 2018-09-27
1639660368 Aileen Cathy Chu Pharmacist 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 2018-05-29
1447767678 Leslie Ling Registered Nurse 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 2018-01-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902453723 Nicole V Zappelli Case Manager/Care Coordinator 4990 William Ave., La Mesa, CA 91942 2019-08-26
1770059834 Natalie Ngoc Nguyen Physician Assistant 5555 Grosmont Center Dr., La Mesa, CA 91942 2018-10-16
1194204297 Courtney Pietsch Nurse Practitioner 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 2018-08-09
1295214773 Megan Gordon Behavior Technician 6116 Horton Dr, La Mesa, CA 91942 2018-08-07
1356836548 Kimberly Denise Davis Counselor 3845 Avocado School Road, El Cajon, CA 91942 2018-06-29
1366932113 Melanie Joyce Shepard Physician Assistant 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 2018-05-17
1871013532 Low Dental, A.p.c. Public Health or Welfare 7872 La Mesa Blvd., La Mesa, CA 91942 2017-06-23
1275069437 Ardel Ayala Respiratory Therapist, Registered 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 2017-05-10
1285007583 Counseling & Behavioral Specialists Marriage & Family Therapist 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 2015-11-09
1285001875 Emily Shozaki Rizo Nurse Practitioner 6285 Meadowcrest Drive, La Mesa, CA 91942 2015-08-31
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184221137 Newport Superior Medical & Infusion Inc Internal Medicine 1501 Superior Ave Ste 111, Newport Beach, CA 92663-3661 2020-10-02
1205472339 Christian Gronbeck IIi Internal Medicine 37 E Mission Ave, San Rafael, CA 94901-4208 2019-11-25
1497304497 Ralph Zitnik Internal Medicine 606 E Valerio St, Santa Barbara, CA 93103-1954 2019-09-11
1578118295 Adventist Health Physicians Network Internal Medicine 1231 W Vine St Ste 19, Lodi, CA 95240-5109 2019-08-08
1063079176 Kasra Sedarati M.d. Inc. Internal Medicine 325 N Maple Dr Unit 1863, Beverly Hills, CA 90213-4754 2019-05-23
1124586367 Coast Concierge Medicine Inc Internal Medicine 31852 Coast Hwy Ste 201, Laguna Beach, CA 92651-6765 2019-03-06
1801373352 Antelope Valley Lung & Sleep Institute, Inc Internal Medicine 1331 W Avenue J Ste 101, Lancaster, CA 93534-2942 2018-07-26
1659864338 Orange County Respiratory Physicians Corp Internal Medicine 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 2018-06-07
1841780301 San Joaquin Critical Care Medical Group, Inc. Internal Medicine 1801 E March Ln Ste C300, Stockton, CA 95210-6657 2018-05-10
1912408691 Northern California Medical Assoc Internal Medicine 2315 Dean St, Eureka, CA 95501-3208 2018-02-27
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Competitor

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City LA MESA
Zip Code 91942

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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