DR. MEHDI FARSHAD DERAMBAKHSH (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1477503563

DR. MEHDI FARSHAD DERAMBAKHSH (M.D.) is a healthcare provider. based in Redondo beach, California. specializing in DERMATOLOGY, FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. A88950 (CA). The NPI Number for DR. MEHDI FARSHAD DERAMBAKHSH (M.D.) is 1477503563

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. MEHDI FARSHAD DERAMBAKHSH (M.D.)
NPI
1477503563
Phone
(310) 218-6415
Address
210 S PROSPECT AVE
Enumeration Date
11 May 2006
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8187743216
Graduation Year
2000 (26 years ago)
PAC ID
3870505621
Professional Enrollment ID
I20060619000322
Address ID
CA913353700RE7150XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

2,140 DERMATOLOGY in CA

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Provider Addresses for DR. MEHDI FARSHAD DERAMBAKHSH (M.D.)

  • 210, South Prospect Avenue, Redondo Beach, Los Angeles County, California, 90277, United States

    #4

    REDONDO BEACH, CA 902776802

    Phone: (310) 218-6415

    Fax: (818) 528-2505

    Type: Mailing

  • 16260, Ventura Boulevard, Encino, Los Angeles, Los Angeles County, California, 91436, United States

    140

    ENCINO, CA 914362203

    Phone: (818) 528-2500

    Fax: (818) 528-2505

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-06-19

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
I20060619000322IDermatologyCATBD

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
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes4,5041,058$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes557549$0
99213Established patient office or other outpatient visit, 20-29 minutes343120$0
17004Destruction of precancer skin growth, 15 or more growths258147$0
17110Destruction of skin growth, 1-14 growths9459$0
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Insurance plans in this area (ZIP 90277)

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Provider's Procedures

DR. MEHDI FARSHAD DERAMBAKHSH (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYCA11101Biopsy of each additional growth of skin and/or tissue5222

Reviews

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Frequently asked questions

What number should I use to identify DR. MEHDI FARSHAD DERAMBAKHSH (M.D.) for billing?
Administrative and clinical systems typically use NPI 1477503563 for DR. MEHDI FARSHAD DERAMBAKHSH (M.D.).
Is DR. MEHDI FARSHAD DERAMBAKHSH (M.D.)'s NPI status active today?
Active status means DR. MEHDI FARSHAD DERAMBAKHSH (M.D.)'s NPI record is not deactivated in the public file.
What type of care does DR. MEHDI FARSHAD DERAMBAKHSH (M.D.) provide?
DR. MEHDI FARSHAD DERAMBAKHSH (M.D.)'s profile centers on MOHS-Micrographic Surgery Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. MEHDI FARSHAD DERAMBAKHSH (M.D.)?
DR. MEHDI FARSHAD DERAMBAKHSH (M.D.) is associated with Redondo Beach, California in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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