Active NPI
Sevitlana Safaei, MD
- Internal Medicine Physician
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A81174
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Celebrating Life Community Health Center | Current | Accepting new patients | |
| Pacific Private Practice Network Inc | Internal Medicine | Current | Accepting new patients |
| Newport Center Medical Group | Current | Accepting new patients | |
| Celebrating Life Community Health Center | Past | Accepting new patients | |
| Riamd Inc | Past | Accepting new patients | |
| MD Solutions Medical Corp | Past | 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
- 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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Newport Beach, CA
- NPI 1467478008
CA
-
- Pulmonary Disease Physician
- San Juan Capistrano, CA
- NPI 1033501077
CA, Internal Medicine
-
- Federally Qualified Health Center (FQHC)
- Mission Viejo, CA
- NPI 1386273100
-
- Federally Qualified Health Center (FQHC)
- Irvine, CA
- NPI 1558068098
-
- Dermatology Physician
- Sherman Oaks, CA
- NPI 1902837735
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1982980306
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.