Individual provider Active NPI

Kazem Seyed, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Hemet, CA
National Provider Identifier
1003801390
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
C42486 Issued in CA
Practice address
750 E Latham Ave
Suite 1
Hemet, CA 92543-4370
Phone
(951) 766-6696
Fax
(951) 766-6699
NPI assigned
Sep 13, 2005
Last updated
Feb 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C42486 CA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X C42486 CA Primary
Pediatrics Physician 208000000X C42486 CA

Addresses

Primary practice location

750 E Latham Ave
Suite 1
Hemet, CA 92543-4370

Mailing address

750 E Latham Ave
Suite 1
Hemet, CA 92543-4370
Phone (951) 766-6696

Other identifiers 1

IdentifierTypeStateIssuer
00C424861MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081027000399 CA Practitioner - EndocrinologyPractitioner - Pediatric Medicine 8426116013 Practice locations: Hemet, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C42486CAMDPediatrics Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1003801390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E LATHAM AVE",
            "address_2": "SUITE 1",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434370",
            "telephone_number": "951-766-6696",
            "fax_number": "951-766-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E LATHAM AVE",
            "address_2": "SUITE 1",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434370",
            "telephone_number": "951-766-6696",
            "fax_number": "951-766-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYED",
        "first_name": "KAZEM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C42486",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "C42486",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C42486",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C424861",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.