Mehran Nowfar-rad, MD is a medicare enrolled "Dermatology - Dermatopathology" physician in Porter Ranch, California. He went to University Of Southern California Keck School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Lakeside Medical Organization A Medical Group Inc and his current practice location is
19950 Rinaldi St, Porter Ranch, California. You can reach out to his office (for appointments etc.) via phone at
(818) 403-2400.
Mehran Nowfar-rad is licensed to practice in California (license number A66360) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912979048.
Physician's Profile
Full Name | Mehran Nowfar-rad |
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Gender | Male |
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Speciality | Dermatology |
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Experience | 27 Years |
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Location | 19950 Rinaldi St, Porter Ranch, California |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mehran Nowfar-rad attended and graduated from University Of Southern California Keck School Of Medicine in 1997
NPI Data:
- NPI Number: 1912979048
- Provider Enumeration Date: 02/02/2006
- Last Update Date: 03/06/2017
Medicare PECOS Information:
- PECOS PAC ID: 8820015340
- Enrollment ID: I20051024001136
Medical Identifiers
Medical identifiers for Mehran Nowfar-rad such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912979048 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ND0900X | Dermatology - Dermatopathology | A66360 (California) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Lakeside Medical Organization A Medical Group Inc | 7618005166 | 64 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mehran Nowfar-rad allows following entities to bill medicare on his behalf.
Entity Name | Lakeside Medical Organization A Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831426642 PECOS PAC ID: 7618005166 Enrollment ID: O20100505000015 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mehran Nowfar-rad is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mehran Nowfar-rad, MD Po Box 9602, Mission Hills, CA 91346-9602 Ph: (818) 837-5559 | Mehran Nowfar-rad, MD 19950 Rinaldi St, Porter Ranch, CA 91326-4141 Ph: (818) 403-2400 |
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