Physician Compare National (NPI:1053457127)

HEALTHCARE PROVIDER: RAMIN MEHDIAN M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1053457127
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9335204221
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090209000611
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MEHDIAN
	Individual professional last name
Provider First Name	RAMIN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK MEDICAL COLLEGE
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	PULMONARY DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CRITICAL CARE (INTENSIVISTS)
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	SLEEP MEDICINE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CRITICAL CARE (INTENSIVISTS), SLEEP MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1000 NEWBURY RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 275
	Group Practice or individual's line 2 address
City	NEWBURY PARK
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	913206445
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050549
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LOS ROBLES HOSPITAL & MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050236
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	ADVENTIST HEALTH SIMI VALLEY
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y