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DR. MAHINDOKHT MARY RAISZADEH M.D.
NPI 1194898064
Legal Medicine in San Diego, CA

Active since November 16, 2006PECOS Enrolled
5222 BALBOA AVE, STE 45, SAN DIEGO, CA 92117(858) 616-6430 Get Directions Write a Review

NPPES record last updated: November 5, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mahindokht Mary Raiszadeh M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MAHINDOKHT MARY RAISZADEH M.D. (NPI 1194898064) is an individual legal medicine provider in San Diego, California, licensed in California (A34656) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194898064
Entity TypeIndividualFemale
Primary Taxonomy173000000X
Provider Legal NameDR. MAHINDOKHT MARY RAISZADEHCredential: M.D.
Location Address5222 BALBOA AVE, STE 45San Diego, CA 92117-6904
Mailing Address5222 Balboa Ave, Ste 45San Diego, CA 92117-6904 · (858) 616-6430
Phone(858) 616-6430
Sole ProprietorYes
Enumeration DateNovember 16, 2006
Last NPPES UpdateNovember 5, 2012
✔ NPI 1194898064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLegal MedicineOther Service Providers
Taxonomy Code173000000X
License✔ Licensed in CA · A34656
Definition
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
5222 BALBOA AVE, San Diego, CA 92117
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Other Identifiers 2

Medicare ID-Type UnspecifiedA34656CA · License
Medicaid00A346561CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mahindokht Mary Raiszadeh M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LESLIE ALISON MARK M.D.
Dermatology
5222 BALBOA AVE, SIXTH FLOOR
SAN DIEGO, CA 92117
San Diego County (858) 292-0204
DR. BARBARA ELAINE MARTIN M.D.
Dermatology
5222 BALBOA AVE, FIFTH FLOOR
SAN DIEGO, CA 92117
San Diego County (858) 292-7928
DR. KENNETH GARY GROSS M.D.
Dermatology
5222 BALBOA AVE, SIXTH FLOOR
SAN DIEGO, CA 92117
San Diego County (858) 292-5101
ERICA DAWN STARK L.AC.
Acupuncturist
5222 BALBOA AVE, SUITE 43
SAN DIEGO, CA 92117
San Diego County (858) 568-2189
DR. WALTER HAROLD JOLLEY D.P.M.
Podiatrist (Foot & Ankle Surgery)
5222 BALBOA AVE, SUITE 52
SAN DIEGO, CA 92117
San Diego County (858) 560-0390
RTY PHARMACEUTICAL INC
Pharmacy (Specialty Pharmacy)
5222 BALBOA AVE
SAN DIEGO, CA 92117
San Diego County (858) 278-0111
DR. DALE EDWARD MARTIN M.D.
Dermatology
5222 BALBOA AVE, SIXTH FLOOR
SAN DIEGO, CA 92117
San Diego County (858) 292-5101
DR. MIKE ADAMS
Dentist
5222 BALBOA AVE, SUITE 71
SAN DIEGO, CA 92117
San Diego County (858) 279-1900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mahindokht Raiszadeh's NPI number?

The NPI number for Mahindokht Raiszadeh is 1194898064. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Mahindokht Raiszadeh located?

Mahindokht Raiszadeh practices at 5222 Balboa Ave Ste 45, San Diego, CA 92117. The listed phone number is (858) 616-6430.

What is Mahindokht Raiszadeh's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

Is Mahindokht Raiszadeh enrolled in Medicare?

Yes. Mahindokht Raiszadeh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mahindokht Raiszadeh was last updated on November 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.