Organization Active NPI

Mahdieh Fallahtafti, D.O., Inc

  • Specialist
  • Irvine, CA
National Provider Identifier
1013194091
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
20A6766 Issued in CA
Legal business name
MAHDIEH FALLAHTAFTI, D.O., INC
Practice address
4708 Barranca Pkwy
Irvine, CA 92604-4730
Phone
(949) 654-0010
NPI assigned
Jan 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Mahdieh Fallahtafti, D.O.NPI 1700802998
Title
Physician/Owner
Phone
(949) 654-0010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 20A6766 CA Primary

Addresses

Primary practice location

4708 Barranca Pkwy
Irvine, CA 92604-4730

Mailing address

4708 Barranca Pkwy
Irvine, CA 92604-4730
Phone (949) 654-0010

National Provider Directory

National Provider Directory

Locations

4050 Barranca Pkwy
Ste 260
Irvine, CA 92604
Phone (949) 654-0010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1013194091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 BARRANCA PKWY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044730",
            "telephone_number": "949-654-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 BARRANCA PKWY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044730",
            "telephone_number": "949-654-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHDIEH FALLAHTAFTI, D.O., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "FALLAHTAFTI",
        "authorized_official_first_name": "MAHDIEH",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "949-654-0010",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "20A6766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.