MASTANEH NIKRAVESH MD
NPI 1508429143
Pain Medicine - Pain Medicine in La Mesa, CA
About Mastaneh Nikravesh Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MASTANEH NIKRAVESH MD (NPI 1508429143) is an individual pain medicine provider in La Mesa, California, licensed in California (A176795) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mastaneh Nikravesh Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91942 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LA MESA, CA 91942
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 Mastaneh Nikravesh's NPI number?
The NPI number for Mastaneh Nikravesh is 1508429143. It was assigned to this individual provider in the NPPES registry on April 18, 2019.
Where is Mastaneh Nikravesh located?
Mastaneh Nikravesh practices at 5555 Grossmont Center Dr, La Mesa, CA 91942. The listed phone number is (619) 740-6000.
What is Mastaneh Nikravesh's specialty?
The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.
Is Mastaneh Nikravesh enrolled in Medicare?
Yes. Mastaneh Nikravesh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Mastaneh Nikravesh accept?
Health plans from Medica list Mastaneh Nikravesh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mastaneh Nikravesh was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Mastaneh Nikravesh, MD · NPI 1508429143
Pain Medicine physician in La Mesa, California. Individual provider, active in the CMS NPPES registry since April 18, 2019.
## Identity
- **NPI:** 1508429143 (Entity type: Individual)
- **Enumerated:** April 18, 2019
- **Primary specialty:** Pain Medicine - Pain Medicine · taxonomy 208VP0000X
- **State license:** A176795 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5555 GROSSMONT CENTER DR, La Mesa, CA 91942-3019
- **Phone:** (619) 740-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1508429143) · Data from the CMS NPPES public registry.