Yama Ahmad Afshar, DO, MPH
Individual provider Active NPI Internal Medicine Physician · Laguna Hills, CA
NPI 1003378415 · NPPES record last updated Oct 11, 2022
Key facts
- NPI
- 1003378415
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 20A19926 (CA)
- Practice address
- 24321 Avenida de la Carlota
Laguna Hills, CA 92653-3681 - Phone
- (949) 204-3006
- NPI assigned
- Apr 3, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Providence Medical Foundation
Practice addresses (Care Compare)
1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350
24321 Avenida de la Carlota
Laguna Hills, CA 92653-3681
Phone (949) 204-3006
26800 Crown Valley Pkwy
Mission Viejo, CA 92691-6384
27231 La Paz Rd
Suite a
Laguna Niguel, CA 92677-3627
Phone (949) 643-9111
Hospital & facility affiliations
- Providence at Home With Compassus Home Health Orange County
- Providence Mission Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221025002617 | CA | Practitioner - Internal Medicine | 6103292693 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19926 | CA | MD | Clinical Social Worker |
| 20A19926 | CA | MD | Internal Medicine Physician |
Practice roles (5 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current |
Accepting new patients | |
| Providence Medical Foundation | Current |
Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Mission Hospital Regional Medical Center | Past | Accepting new patients | |
| Providence Medical Foundation | Past | Accepting new patients |
Locations
200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841
1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835
100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200
24321 Avenida de la Carlota
Laguna Hills, CA 92653
Phone (949) 204-3006
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20A19926 | CA | Yes |
Addresses
Primary practice location
24321 Avenida de la Carlota
Laguna Hills, CA 92653-3681
Mailing address
24321 Avenida de la Carlota
Laguna Hills, CA 92653-3681
Phone (949) 204-3006
Other providers in Laguna Hills, CA
- Advanced Geriatric Care and Family Practice Associates
- Advanced Medical Care Partners Inc
- Advanced Medical Sales, Inc.
- Advanced Sleep Medicine Services Inc
- Afsaneh Haftbaradaran Mohammadi MD Inc
- Ag Laguna Hills, LLC
- Renee Aguilar
- Kevin Aguinaldo
- Sylvia Aguirre
- Eva Sultana Ahmad
All providers in Laguna Hills, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.