Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gelareh Vahdati

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1871005876

Gelareh Vahdati is a Nuclear Medicine in Irvine, California. Qualified in 2003, 23 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
23
Licensed in
CA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

4 Caraway
Irvine, CA 92604-3211
Phone: (310) 906-9595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6076 71st Ave Apt 2l, Ridgewood, NY 11385-5115 — (310) 906-9595

Specialties & licences

Nuclear Medicine Physician (primary) Taxonomy 207U00000X · Licence A175751 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1871005876
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 30, 2017
Last updated in NPPESOctober 25, 2024
Certification dateNovember 1, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNUCLEAR MEDICINE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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