Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NICKY MEHDIZADEH
NPI 1366352155
Student in an Organized Health Care Education/Training Program in Mesa, AZ

Active since September 11, 2026
5855 E STILL CIR, MESA, AZ 85206(480) 248-8100 Get Directions Write a Review

NPPES record added: September 11, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Nicky Mehdizadeh NPPES

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

NICKY MEHDIZADEH (NPI 1366352155) is an individual student in an organized health care education/training program in Mesa, Arizona and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1366352155
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNICKY MEHDIZADEH
Location Address5855 E STILL CIRMesa, AZ 85206-3631
Mailing Address6595 Le Blan WayRiverside, CA 92506-5617 · (818) 235-3952
Sole ProprietorYes
Enumeration DateSeptember 11, 2026
NPPES CertifiedSeptember 11, 2026
NPI 1366352155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5855 E STILL CIR, Mesa, AZ 85206

Other Providers at the Same Location NPPES 20

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

Dentist (Oral and Maxillofacial Pathology)
5855 E STILL CIR
MESA, AZ 85206
Student in an Organized Health Care Education/Training Program
5855 E STILL CIR
MESA, AZ 85206
Dentist (General Practice)
5855 E STILL CIR
MESA, AZ 85206
Student in an Organized Health Care Education/Training Program
5855 E STILL CIR
MESA, AZ 85206
Dentist (General Practice)
5855 E STILL CIR
MESA, AZ 85206
Dentist
5855 E STILL CIR
MESA, AZ 85206
Dentist
5855 E STILL CIR
MESA, AZ 85206
Dentist (Pediatric Dentistry)
5855 E STILL CIR
MESA, AZ 85206

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 Nicky Mehdizadeh's NPI number?

The NPI number for Nicky Mehdizadeh is 1366352155. It was assigned to this individual provider in the NPPES registry on September 11, 2026.

Where is Nicky Mehdizadeh located?

Nicky Mehdizadeh practices at 5855 E Still Cir, Mesa, AZ 85206. The listed phone number is (480) 248-8100.

What is Nicky Mehdizadeh's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nicky Mehdizadeh was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.