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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RONICA SARA MEHDIZADEH PA
NPI 1578394789
Physician Assistant in Beverly Hills, CA

Active since August 09, 2024PECOS Enrolled
9400 BRIGHTON WAY STE 210, BEVERLY HILLS, CA 90210(310) 362-1255 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 6, 2026, Aug 9, 2024 (2 updates tracked since 2024).

About Ronica Sara Mehdizadeh Pa NPPES

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

RONICA SARA MEHDIZADEH PA (NPI 1578394789) is an individual physician assistant in Beverly Hills, California, licensed in California (PA66107) and active in the NPI registry since August 2024. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578394789
Entity TypeIndividual
Primary Taxonomy363A00000X
Provider Legal NameRONICA SARA MEHDIZADEHCredential: PA
Location Address9400 BRIGHTON WAY STE 210Beverly Hills, CA 90210-4709
Mailing Address9400 Brighton Way Ste 210Beverly Hills, CA 90210-4709
Phone(310) 362-1255
Sole ProprietorNo
Enumeration DateAugust 9, 2024
Last NPPES UpdateOctober 6, 20262 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1578394789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA66107
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
9400 BRIGHTON WAY STE 210, Beverly Hills, CA 90210
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ronica Sara Mehdizadeh Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90210 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DR. ALEXANDER AHN
Dentist (General Practice)
9400 BRIGHTON WAY STE 210
BEVERLY HILLS, CA 90210
Los Angeles County (310) 597-7979
PROHEALTH PARTNERS A MEDICAL GROUP INC
Internal Medicine
9400 BRIGHTON WAY STE 210
BEVERLY HILLS, CA 90210
Los Angeles County (310) 362-1255
RACHELLE ESRAIL
Family Medicine
9400 BRIGHTON WAY STE 210
BEVERLY HILLS, CA 90210
Los Angeles County (310) 362-1255

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 Ronica Mehdizadeh's NPI number?

The NPI number for Ronica Mehdizadeh is 1578394789. It was assigned to this individual provider in the NPPES registry on August 9, 2024.

Where is Ronica Mehdizadeh located?

Ronica Mehdizadeh practices at 9400 Brighton Way Ste 210, Beverly Hills, CA 90210. The listed phone number is (310) 362-1255.

What is Ronica Mehdizadeh's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ronica Mehdizadeh enrolled in Medicare?

Yes. Ronica Mehdizadeh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ronica Mehdizadeh was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 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.