Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MASTANEH NIKRAVESH, MD
ActiveMASTANEH NIKRAVESH, MD is a Vascular Surgery healthcare provider located in LA MESA, California. NPI 1508429143 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · LA MESA, CA
Registration Details
- NPI Number
- 1508429143
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 18, 2019 (7.3506058942539 yrs)
- Last Updated
- Mar 11, 2025
- Licenses
-
A176795 (CA)A176795 (CA)A176795 (CA)
Practice Information
- Address
-
5555 GROSSMONT CENTER DRLA MESA, CA, 919423019Browse CA providers · Browse ZIP 91942
- Phone
- 6197406000
- Primary Specialty
-
Vascular Surgery
208VP0000X
- Additional Specialty
- 2083A0300X
- Additional Specialty
- Vascular Surgery
Other Vascular Surgery Providers in LA MESA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. BRADLEY UDELL SAINSBURY | DDS, MS | 1518166313 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.