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MAHNAZ ENTEZARALMAHDI M.D.
NPI 1881005445
Psychiatry & Neurology - Pain Medicine in Rancho Cucamonga, CA

Active since May 16, 2014PECOS EnrolledAccepts Medicare Assignment
10565 CIVIC CENTER DR BLDG SUITE165, RANCHO CUCAMONGA, CA 91730(909) 985-2211(909) 985-2244 Get Directions Write a Review

NPPES record last updated: May 28, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2019, May 7, 2019 (2 updates tracked since 2019).

About Mahnaz Entezaralmahdi M.d. NPPES

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

MAHNAZ ENTEZARALMAHDI M.D. (NPI 1881005445) is an individual pain medicine provider in Rancho Cucamonga, California, licensed in California (A147204) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1881005445
Entity TypeIndividualFemale
Primary Taxonomy2084P2900X
Provider Legal NameMAHNAZ ENTEZARALMAHDICredential: M.D.
Location Address10565 CIVIC CENTER DR BLDG SUITE165Rancho Cucamonga, CA 91730-3853
Mailing Address10565 Civic Center Dr Bldg Suite165Rancho Cucamonga, CA 91730-3853 · (909) 985-2211 · Fax (909) 985-2244
Phone(909) 985-2211
Fax(909) 985-2244
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 16, 2014
Last NPPES UpdateMay 28, 20192 updates tracked since enumeration
✔ NPI 1881005445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084P2900X
License✔ Licensed in CA · A147204
Definition
A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
10565 CIVIC CENTER DR BLDG SUITE165, Rancho Cucamonga, CA 91730
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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 and accepts Medicare assignment

Mahnaz Entezaralmahdi 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 ID5193070357
PECOS Enrollment IDI20190912002522
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services11 patients

Other Providers at the Same Location NPPES

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

AMY LAUREN KOLESIAK N.P.-C
Nurse Practitioner (Acute Care)
10565 CIVIC CENTER DR BLDG SUITE165
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 985-2211

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 Mahnaz Entezaralmahdi's NPI number?

The NPI number for Mahnaz Entezaralmahdi is 1881005445. It was assigned to this individual provider in the NPPES registry on May 16, 2014.

Where is Mahnaz Entezaralmahdi located?

Mahnaz Entezaralmahdi practices at 10565 Civic Center Dr Bldg Suite165, Rancho Cucamonga, CA 91730. The listed phone number is (909) 985-2211.

What is Mahnaz Entezaralmahdi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Pain Medicine, with taxonomy code 2084P2900X.

Is Mahnaz Entezaralmahdi enrolled in Medicare?

Yes. Mahnaz Entezaralmahdi 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.

When was this NPI record last updated?

The NPPES record for Mahnaz Entezaralmahdi was last updated on May 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.