ATA MAZAHERI (MD) – Surgery Physician, NPI 1164467239

ATA MAZAHERI (MD) is a healthcare provider. based in Torrance, California. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. A79930 (CA). The NPI Number for ATA MAZAHERI (MD) is 1164467239

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
ATA MAZAHERI (MD)
NPI
1164467239
Phone
(818) 247-7600
Address
20911 EARL ST
Enumeration Date
20 June 2006
Last Update Date
13 May 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3103035075
Graduation Year
2000 (26 years ago)
PAC ID
5496786576
Professional Enrollment ID
I20050829000462
Address ID
CA905034355TO20911STXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,317 GENERAL SURGERY in CA

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Provider Addresses for ATA MAZAHERI (MD)

  • Watts Medical Plaza, 20911, Earl Street, Torrance, Los Angeles County, California, 90503, United States

    STE 245

    TORRANCE, CA 905034355

    Phone: (818) 247-7600

    Fax: (818) 247-7126

    Type: Mailing

  • Professional Building, 1560, East Chevy Chase Drive, Glendale, Los Angeles County, California, 91206, United States

    SUITE 450

    GLENDALE, CA 912064197

    Phone: (818) 246-3300

    Fax: (818) 247-7600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $138.

Total Amount is formed as General ($138) + Research ($0) + Ownership ($0) = $138.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Kerecis Limited ($138).

Total Amount

$138

General + Research + Ownership

Payments

1

Total payment records

General Amount

$138

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Kerecis Limited$138
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: 2005-08-29

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
I20050829000462IGeneral SurgeryCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes45472$0
99291Critical care, first 30-74 minutes8812$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7068$0
99285Emergency department visit with high level of medical decision making3030$0
47562Removal of gallbladder using an endoscope1616$0
View full utilization report →

Insurance plans in this area (ZIP 90503)

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Reviews

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Frequently asked questions

Can I cross-check ATA MAZAHERI (MD) using NPI 1164467239?
NPI 1164467239 belongs to ATA MAZAHERI (MD); compare other details if you need extra assurance.
Is ATA MAZAHERI (MD) shown as active in public data?
Registry records indicate ATA MAZAHERI (MD) maintains an active NPI.
What kind of doctor is ATA MAZAHERI (MD)?
ATA MAZAHERI (MD) is associated with Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for ATA MAZAHERI (MD)?
Travel planning: use Torrance, California as the reference point for ATA MAZAHERI (MD), then confirm.
When was this NPI issued?
Enumeration for ATA MAZAHERI (MD) is noted as June 20, 2006 where the registry provides it.

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