Active NPI
Marco M Zahedi MD a Medical Corporation
- General Practice Physician
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A138224
- Legal business name
- MARCO M ZAHEDI MD A MEDICAL CORPORATION
- Practice address
- 999 N Tustin Ave Ste 222
Santa Ana, CA 92705-6506 - Phone
- (949) 371-9862
- Fax
- (866) 439-4879
- NPI assigned
- Jan 24, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marco M Zahedi, M.D.
- Title
- Medical Director
- Phone
- (949) 371-9862
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A138224 | CA | Primary |
Addresses
Primary practice location
999 N Tustin Ave Ste 222
Santa Ana, CA 92705-6506
Mailing address
3972 Barranca Pkwy
Suite J #490
Irvine, CA 92606-1204
Phone (949) 371-9862
Other practice location 1
1830 Commercenter E
San Bernardino, CA 92408-3406
Phone (909) 257-8796
Other practice location 2
16520 Bake Pkwy Ste 115
Irvine, CA 92618-4688
Phone (949) 857-4444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3972 Barranca Pkwy
Ste J490
Irvine, CA 92606
999 N Tustin Ave
Ste 222
Santa Ana, CA 92705
Phone (714) 991-7246
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Santa Ana, CA
- NPI 1063779163
General Practice
-
- Interventional Pain Medicine Physician
- Santa Ana, CA
- NPI 1154355469
-
- Family Medicine Physician
- Santa Ana, CA
- NPI 1346253812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713916800000",
"number": "1013454495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3972 BARRANCA PKWY",
"address_2": "SUITE J #490",
"city": "IRVINE",
"state": "CA",
"postal_code": "926061204",
"telephone_number": "949-371-9862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 N TUSTIN AVE STE 222",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927056506",
"telephone_number": "949-371-9862",
"fax_number": "866-439-4879"
}
],
"practiceLocations": [
{
"address_1": "1830 Commercenter E",
"address_purpose": "LOCATION",
"city": "San Bernardino",
"state": "CA",
"postal_code": "924083406",
"country_code": "US",
"telephone_number": "909-257-8796",
"fax_number": "844-706-2769",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16520 Bake Pkwy Ste 115",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "926184688",
"country_code": "US",
"telephone_number": "949-857-4444",
"fax_number": "877-278-0279",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MARCO M ZAHEDI MD A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-24",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A",
"authorized_official_last_name": "ZAHEDI",
"authorized_official_first_name": "MARCO",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "949-371-9862",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "CA",
"license": "A138224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.