Physician Compare National (NPI:1427012228)

HEALTHCARE PROVIDER: MEHDI FAKHRAI MD

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

Individual Professional Information
NPI	1427012228
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4082880448
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120105000985
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FAKHRAI
	Individual professional last name
Provider First Name	MEHDI
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1969
	Individual professional's medical school graduation year
Primary Specialty	THORACIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	CARDIAC SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	VASCULAR SURGERY
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	CARDIAC SURGERY, VASCULAR SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	10605 BALBOA BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 225
	Group Practice or individual's line 2 address
City	GRANADA HILLS
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	913446376
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8188983939
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050624
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HENRY MAYO NEWHALL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050704
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MISSION COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y