Individual provider Active NPI

Sevitlana Safaei, MD

  • Internal Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1013065812
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A81174 Issued in CA
Practice address
520 Superior Ave
Ste 205
Newport Beach, CA 92663-3637
Phone
(949) 650-2462
Fax
(949) 650-1366
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A81174 CA Primary

Addresses

Primary practice location

520 Superior Ave
Ste 205
Newport Beach, CA 92663-3637

Mailing address

PO Box 3699
Newport Beach, CA 92659-8699
Phone (657) 241-3600

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
I20090120000038 CA Practitioner - Internal Medicine 2961416821 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Celebrating Life Community Health CenterGroup PAC ID 4789015140, 4 clinicians

Practice addresses (Care Compare)

27800 Medical Ctr Rd
Suite 110
Mission Viejo, CA 92691-6407
Phone (949) 703-3661

National Provider Directory

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

Practice roles (6 of 7)

OrganizationSpecialtyStatusNew patients
Celebrating Life Community Health Center Current Accepting new patients
Pacific Private Practice Network Inc Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Newport Center Medical Group CurrentSince Jul 1, 2021 Accepting new patients
Celebrating Life Community Health Center Past Accepting new patients
Riamd Inc PastSince Jul 1, 2021 Accepting new patients
MD Solutions Medical Corp PastSince Jan 1, 2022 Accepting new patients

Locations

27800 Medical Center Rd
Ste 110
Mission Viejo, CA 92691
Phone (949) 364-9255

400 Newport Center Dr
Ste 504
Newport Beach, CA 92660
Phone (949) 720-4920

30230 Rancho Viejo Rd
Ste 110
San Juan Capo, CA 92675
Phone (949) 441-5681

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sevitlanasafaei@clchc.allscriptsdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1013065812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3699",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926598699",
            "telephone_number": "657-241-3600",
            "fax_number": "657-241-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVE",
            "address_2": "STE 205",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633637",
            "telephone_number": "949-650-2462",
            "fax_number": "949-650-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFAEI",
        "first_name": "SEVITLANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A81174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.