| Reza Dehdari, MD | |
|
2615 Saint Simons, Tustin, CA 92782-1229 | |
| (714) 456-7890 | |
| Not Available |
| Full Name | Reza Dehdari |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 19 Years |
| Location | 2615 Saint Simons, Tustin, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508024126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A113848 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hollywood Presbyterian Medical Center | Los angeles, CA | Hospital |
| Emanate Health Inter-community Hospital | Covina, CA | Hospital |
| Emanate Health Foothill Presbyterian Hospital | Glendora, CA | Hospital |
| Adventist Health Simi Valley | Simi valley, CA | Hospital |
| Mission Community Hospital | Panorama city, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| United Medical Doctors | 2961305651 | 129 |
| Focus Medical Imaging | 6406999259 | 119 |
| Mountain Communities Healthcare District | 9133227135 | 25 |
| Entity Name | United Medical Doctors |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770559981 PECOS PAC ID: 2961305651 Enrollment ID: O20040129001069 |
| Entity Name | Mountain Communities Healthcare District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1750462271 PECOS PAC ID: 9133227135 Enrollment ID: O20070613000851 |
| Entity Name | United Medical Imaging Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760572036 PECOS PAC ID: 0143311241 Enrollment ID: O20070803000169 |
| Entity Name | Focus Medical Imaging |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528299989 PECOS PAC ID: 6406999259 Enrollment ID: O20100202000905 |
| Entity Name | Mountain Communities Healthcare District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407027568 PECOS PAC ID: 9133227135 Enrollment ID: O20160208000679 |
| Mailing Address | Practice Location Address |
|---|---|
| Reza Dehdari, MD 2615 Saint Simons, Tustin, CA 92782-1229 Ph: (714) 456-7890 | Reza Dehdari, MD 2615 Saint Simons, Tustin, CA 92782-1229 Ph: (714) 456-7890 |
Mrs. Hemlata K Lepkowski, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1401 No Tustin Ave #170, Tustin, CA 92705 Phone: 714-543-7643 Fax: 714-480-7829 | |
Khanh Hung Vu, MD Radiology Medicare: Medicare Enrolled Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 Fax: 714-665-9891 | |
Dr. Tapan Roy, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 14662 Newport Ave, Tustin, CA 92780 Phone: 714-573-9500 | |
Dr. Vijaykumar Ramchandra Kini, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2895 Edinger Ave, Tustin, CA 92780 Phone: 949-381-5800 Fax: 949-552-5152 | |
Dr. Siu-ming Tam, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 13422 Newport Av, Suite I, Tustin, CA 92780 Phone: 714-665-6901 Fax: 714-665-6904 | |
Gideon Strich, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 13762 Fairmont Way, Tustin, CA 92780 Phone: 714-684-6166 Fax: 714-364-1803 |