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

Omid Benjamin Mehdizadeh

Individual provider Otolaryngology Physician · NPI 1770816464

Omid Benjamin Mehdizadeh is an Otolaryngology in Santa Monica, California. Graduated from University of California, Davis School of Medicine in 2012, 14 years ago. Practices with Providence Saint Johns Medical Foundation, a 285-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
14
Trained at
University of California, Davis School of Medicine
Licensed in
CA
In the registry since
2009
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Practice location Address checks out

2125 Arizona Ave
Santa Monica, CA 90404-1337
Phone: (310) 829-8701
Fax: (310) 315-4062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 150014 (CA)

Record details

NPI number1770816464
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 12, 2009
Last updated in NPPESMay 16, 2022
Certification dateMay 16, 2022

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Providence Saint Johns Medical Foundation — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Santa Monica