Dr Hamid R Fadavi, DO is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Mission Viejo, California. He graduated from medical school in 2005 and has 20 years of diverse experience with area of expertise as Interventional Pain Management. His current practice location is
26932 Oso Pkwy, Suite 275, Mission Viejo, California. You can reach out to his office (for appointments etc.) via phone at
(949) 916-8100.
Dr Hamid R Fadavi is licensed to practice in California (license number 20A11189) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477787034.
Physician's Profile
Full Name | Dr Hamid R Fadavi |
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Gender | Male |
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Speciality | Interventional Pain Management |
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Experience | 20 Years |
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Location | 26932 Oso Pkwy, Mission Viejo, California |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Hamid R Fadavi graduated from medical school in 2005
NPI Data:
- NPI Number: 1477787034
- Provider Enumeration Date: 05/12/2009
- Last Update Date: 02/12/2014
Medicare PECOS Information:
- PECOS PAC ID: 0446382287
- Enrollment ID: I20100714000958
Medical Identifiers
Medical identifiers for Dr Hamid R Fadavi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477787034 | NPI | - | NPPES |
CB207387 | Other | | PTAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 1080 DO (Alabama) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 20A11189 (California) | Primary |
Medical Facilities Affiliation
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Hamid R Fadavi allows following entities to bill medicare on his behalf.
Entity Name | County Of San Diego |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225255375 PECOS PAC ID: 8123014057 Enrollment ID: O20040423001418 |
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Entity Name | Hamid Fadavi Do Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811239536 PECOS PAC ID: 9133367246 Enrollment ID: O20130531000382 |
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Entity Name | Pacific Private Practice Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033501077 PECOS PAC ID: 1254659261 Enrollment ID: O20150422001711 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Hamid R Fadavi is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Hamid R Fadavi, DO 26932 Oso Pkwy, Suite 275, Mission Viejo, CA 92691-5815 Ph: (949) 916-8100 | Dr Hamid R Fadavi, DO 26932 Oso Pkwy, Suite 275, Mission Viejo, CA 92691-5815 Ph: (949) 916-8100 |
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