MITRA GHAFOURIAN M. D.
NPI 1538412994
Internal Medicine in San Diego, CA

Q: What is Mitra Ghafourian's NPI number?

The NPI number for Mitra Ghafourian is 1538412994. It was assigned to this individual provider in the NPPES registry on October 23, 2012.

Q: What is Mitra Ghafourian's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Mitra Ghafourian was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 23, 2012PECOS EnrolledAccepts Medicare Assignment

7901 FROST ST, SAN DIEGO, CA 92123(858) 939-3400 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 24, 2022, Sep 3, 2019 (2 updates tracked since 2019).

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About Mitra Ghafourian M. D. NPPES

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

MITRA GHAFOURIAN M. D. (NPI 1538412994) is an individual internal medicine provider in San Diego, California, licensed in California (A125908) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1538412994

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameMITRA GHAFOURIANCredential: M. D.

Location Address7901 FROST STSan Diego, CA 92123-2701

Mailing Address2641 Wyandotte AveSan Diego, CA 92117-1654 · (435) 512-5597

Phone(858) 939-3400

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateOctober 23, 2012

Last NPPES UpdateJanuary 24, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 24, 2022

✔ NPI 1538412994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A125908

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

7901 FROST ST, San Diego, CA 92123

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mitra Ghafourian M. D. 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.

PECOS PAC ID8123259330

PECOS Enrollment IDI20140717000166

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.

Medicare Billing Reassignments

Medicare enrollment records show Mitra Ghafourian reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency And Acute Care Medical Corporation

Same address

Emergency Medicine

7901 FROST ST
San Diego, CA 92123

Reassigned Medicare billing, California enrollment
1,437 clinicians in this Medicare group

NPI 1437103942 (858) 939-3400

Southern California Permanente Medical Group

2.2 mi

Health Maintenance Organization

1288 CAMINO DEL RIO N
San Diego, CA 92108

Reassigned Medicare billing, California enrollment
13,921 clinicians in this Medicare group

NPI 1023425972 (877) 608-0044

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$63.11 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JOANNA PARK

Pharmacist