Organization Active NPI

Marco M Zahedi MD a Medical Corporation

  • General Practice Physician
  • Santa Ana, CA
National Provider Identifier
1013454495
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A138224 Issued in CA
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

Updated by the provider on Apr 24, 2024

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.NPI 1063779163
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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20170525002554 CA Part B Supplier - Clinic/Group Practice 5991072753 Receives reassigned benefits from 1 practitioner
Practice locations: Irvine, CA; San Bernardino, CA; Santa Ana, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.