Active NPI
Forough Sadat Ghavami Shirehjini, DO
- Neurology Physician
- Coto de Caza, CA
National Provider Identifier
1013143619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 20A12737
- Practice address
- 8 Taiga
Coto de Caza, CA 92679-5206 - Phone
- (888) 464-2466
- NPI assigned
- Jun 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 20A12737 | CA | Primary |
| Neurology Physician | 2084N0400X | A-2202-18 | NM |
Addresses
Primary practice location
8 Taiga
Coto de Caza, CA 92679-5206
Mailing address
8 Taiga
Coto de Caza, CA 92679-5206
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A-2202-18 | Other | NM | NEW MEXICO MEDICAL LICENSE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Western University of Health Sciences College of Dental Med, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8 Taiga
Coto de Caza, CA 92679-5206
Phone (888) 464-2466
Hospital & facility affiliations
- Hoag Orthopedic Institute
- Medstar Georgetown University Hospital
- Community Hospital
- Ohio State University State Health System
- Hartford Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A12737 | CA | MD | Neurology Physician |
| A-2202-18 | NM | MD | Neurology Physician |
| 12737 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Neuromonitoring Associates, Inc | Neurology | Current | Accepting new patients |
| American Neuromonitoring Associates, PC | Neurology | Past | Accepting new patients |
Locations
10275 Little Patuxent Pkwy
Ste 300
Columbia, MD 21044
Phone (734) 545-4420
Organizations & group practices 2
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.
-
- Neurology Physician
- Columbia, MD
- NPI 1740391283
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Irvine, CA
- NPI 1982927877
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
-
- General Acute Care Hospital
- Washington, DC
- NPI 1427145176
-
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
-
- Rehabilitation Hospital Unit
- Columbus, OH
- NPI 1184723637
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1447359997
-
- Psychiatric Hospital Unit
- Columbus, OH
- NPI 1790876183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1013143619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 TAIGA",
"city": "COTO DE CAZA",
"state": "CA",
"postal_code": "926795206",
"fax_number": "734-213-3931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 TAIGA",
"city": "COTO DE CAZA",
"state": "CA",
"postal_code": "926795206",
"telephone_number": "888-464-2466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHAVAMI SHIREHJINI",
"first_name": "FOROUGH",
"middle_name": "SADAT",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-09",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "20A12737",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NM",
"license": "A-2202-18",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW MEXICO MEDICAL LICENSE",
"identifier": "A-2202-18",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coto de Caza, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.