Deeba Freshta Kazempoor, FNP in Aliso Viejo, CA

Deeba Freshta Kazempoor, FNP is a medicare enrolled "Nurse Practitioner - Family" in Aliso Viejo, California. Her current practice location is 26891 Aliso Creek Rd, Aliso Viejo, California. You can reach out to her office (for appointments etc.) via phone at (949) 360-4081.

Deeba Freshta Kazempoor is licensed to practice in California (license number 95005063) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972055945.

Contact Information

	Deeba Freshta Kazempoor, FNP
	26891 Aliso Creek Rd, Aliso Viejo, CA 92656-3392
	(949) 360-4081
	Not Available

Map and Direction

Provider's Profile

Full Name	Deeba Freshta Kazempoor
Gender	Female
Speciality	Nurse Practitioner - Family
Location	26891 Aliso Creek Rd, Aliso Viejo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972055945
Provider Enumeration Date: 10/26/2016
Last Update Date: 11/01/2018

Medicare PECOS Information:

PECOS PAC ID: 0143502427
Enrollment ID: I20170120002373

Medical Identifiers

Medical identifiers for Deeba Freshta Kazempoor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972055945	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95005063 (California)	Primary

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. Deeba Freshta Kazempoor allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

Entity Name	Minuteclinic Diagnostic Medical Group Of Orange County Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104013879 PECOS PAC ID: 5991868929 Enrollment ID: O20090116000214

Entity Name	Hoag Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942799523 PECOS PAC ID: 3274872064 Enrollment ID: O20190221001936

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. Deeba Freshta Kazempoor 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
Deeba Freshta Kazempoor, FNP 21 Parma, Irvine, CA 92602-1656 Ph: (714) 392-1383	Deeba Freshta Kazempoor, FNP 26891 Aliso Creek Rd, Aliso Viejo, CA 92656-3392 Ph: (949) 360-4081

Reviews and Comments

Nurse Practitioner Nurses in Aliso Viejo, CA

Larissa Todd, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26891 Aliso Creek Rd, Aliso Viejo, CA 92656 Phone: 949-360-4081
Vanessa Yvonne Santiago Vo, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26891 Aliso Creek Rd, Aliso Viejo, CA 92656 Phone: 949-360-4081
Yen Anker, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24552 Pacific Park Dr, Aliso Viejo, CA 92656 Phone: 949-565-2377
Elizabeth Rodriguez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Journey Ste 210, Aliso Viejo, CA 92656 Phone: 949-305-7122
Mary Lou Lao David, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 Bluff Cove Dr, Aliso Viejo, CA 92656 Phone: 949-360-0587
Mrs. Stacy Tse, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 Journey Ste 130, Aliso Viejo, CA 92656 Phone: 949-360-1069 Fax: 949-389-8968
Ms. Chalice Ann Addis, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 141 Sandcastle, Aliso Viejo, CA 92656 Phone: 949-637-0733

Deeba Freshta Kazempoor, FNP - Medicare Nurse Practitioner in Aliso Viejo, CA