DR. ARDAVAN MEHDIZADEH (M.D.) – Internal Medicine Physician, NPI 1013338730

DR. ARDAVAN MEHDIZADEH (M.D.) is a healthcare provider. based in Cerritos, California. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 128198 (CA). The NPI Number for DR. ARDAVAN MEHDIZADEH (M.D.) is 1013338730

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. ARDAVAN MEHDIZADEH (M.D.)
NPI
1013338730
Phone
(562) 207-0139
Address
12900 PARK PLAZA DR
Enumeration Date
23 December 2013
Last Update Date
10 September 2019

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Secondary Phone
5626222800
Graduation Year
2011 (15 years ago)
PAC ID
3274834247
Group Practice PAC ID
8921419813
Professional Enrollment ID
I20151216000708
Address ID
CA907039329CE12900DRXX417
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

Provider Addresses for DR. ARDAVAN MEHDIZADEH (M.D.)

  • 12900 PARK PLAZA DR

    SUITE 150

    CERRITOS, CA 907039329

    Phone: (562) 207-0139

    Fax: (562) 741-4479

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $736.

Total Amount is formed as General ($736) + Research ($0) + Ownership ($0) = $736.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($429).

Total Amount

$736

General + Research + Ownership

Payments

9

Total payment records

General Amount

$736

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-12-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151216000708IInternal MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90703)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921419813View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)CA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Nurse PractitionerCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I cross-check DR. ARDAVAN MEHDIZADEH (M.D.) using NPI 1013338730?
NPI 1013338730 belongs to DR. ARDAVAN MEHDIZADEH (M.D.); compare other details if you need extra assurance.
Is there an active status for DR. ARDAVAN MEHDIZADEH (M.D.)?
For scheduling context, DR. ARDAVAN MEHDIZADEH (M.D.) is shown as active in the registry.
How would a patient describe DR. ARDAVAN MEHDIZADEH (M.D.)'s focus?
For DR. ARDAVAN MEHDIZADEH (M.D.), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. ARDAVAN MEHDIZADEH (M.D.) located near Cerritos?
DR. ARDAVAN MEHDIZADEH (M.D.) currently maps to Cerritos, California in this extract.
Does DR. ARDAVAN MEHDIZADEH (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

EDWARD LEE (MD)

Internal Medicine Physician
1665, Scenic Avenue, Costa Mesa, Orange County, California, 92626, United States
NPI: 1508863499

MOHAMMED HASSAN SABBAGH (MD)

Medical Oncology Physician
310, East San Antonio Street, Victoria, Victoria County, Texas, 77901, United States
NPI: 1164420105
12900, Park Plaza Drive, Cerritos, Los Angeles County, California, 90703, United States
NPI: 1689660672

DR. PHILIP L CHATHAM (M.D.)

Medical Oncology Physician
15031 RINALDI ST STE 150
NPI: 1740279264

HEATHER RANSOME SWANSON (MD)

Hospitalist Physician
Park Plaza Drive, Cerritos, Los Angeles County, California, 909703, United States
NPI: 1083695688

DR. JADA MANDY MA (M.D.)

Internal Medicine Physician
Bloomfield Avenue, Cerritos, Los Angeles County, California, 90715, United States
NPI: 1568440618

ADAM K GELRUD (MD)

Internal Medicine Physician
Park Plaza Drive, Cerritos, Los Angeles County, California, 909703, United States
NPI: 1982676276

JOHN FORD (M.D.)

Internal Medicine Physician
Park Plaza Drive, Cerritos, Los Angeles County, California, 909703, United States
NPI: 1922071596

LAURIE LYNN LAVERY (MD)

Geriatric Medicine (Internal Medicine) Physician
532 W Pittsburgh St
NPI: 1275507402