| Shahram Javaheri, Md, Inc. | |
|
26691 Plaza Ste 150 Mission Viejo CA 92691-6329 | |
| (949) 389-0660 | |
| (949) 389-0668 |
| Full Name | Shahram Javaheri, Md, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 26691 Plaza Ste 150, Mission Viejo, California |
| Authorized Official Name and Position | Shahram Javaheri (CEO) |
| Authorized Official Contact | 9493890660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shahram Javaheri, Md, Inc. Po Box 12512 Newport Beach CA 92658-5065 Ph: (949) 389-0660 | Shahram Javaheri, Md, Inc. 26691 Plaza Ste 150 Mission Viejo CA 92691-6329 Ph: (949) 389-0660 |
| NPI Number | 1760589097 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 12/06/2018 |
| Medicare PECOS PAC ID | 0840272761 |
|---|---|
| Medicare Enrollment ID | O20040603001503 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760589097 | NPI | - | NPPES |
| 00A642390 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A064239 (California) | Primary |
| Provider Name | Shahram Javaheri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497861439 PECOS PAC ID: 8921080847 Enrollment ID: I20040604000902 |
Theodore J. Caliendo, M.d., A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27800 Medical Center Rd, Suite 204, Mission Viejo, CA 92691 Phone: 949-364-3691 Fax: 949-347-7645 | |
Rexinger Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27800 Medical Center Rd, Suite 461, Mission Viejo, CA 92691 Phone: 949-364-5600 Fax: 949-364-2231 | |
Raef M Elsanadi Md Inc A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 27800 Medical Ctr Rd, 212, Mission Viejo, CA 92691 Phone: 949-364-3582 Fax: 949-364-3582 | |
Bristol Park Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26991 Crown Valley Pkwy, Mission Viejo, CA 92691 Phone: 949-582-2002 Fax: 949-367-5200 | |
South County Gastro Medical Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26691 Plaza Ste 150, Mission Viejo, CA 92691 Phone: 949-348-2900 | |
California Emergency Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23962 Alicia Pkwy, Ste 1, Mission Viejo, CA 92691 Phone: 949-452-7699 | |
J. Margo Jaffe Orr, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 27725 Santa Margarita Pkwy, Suite 220, Mission Viejo, CA 92691 Phone: 949-305-9950 Fax: 949-305-9988 |