Active NPI
Nuvell Care Professional Corporation
- Internal Medicine Physician
- Laguna Hills, CA
National Provider Identifier
1043013030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NUVELL CARE PROFESSIONAL CORPORATION
- Practice address
- 24451 Health Center Dr
Laguna Hills, CA 92653-3689 - Phone
- (949) 837-4500
- NPI assigned
- Mar 27, 2025
- 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
- Kimia Mahan, M.D.
- Title
- M.D./President
- Phone
- (949) 288-3107
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
24451 Health Center Dr
Laguna Hills, CA 92653-3689
Mailing address
14252 Culver Dr Ste a-341
Irvine, CA 92604-0317
Phone (949) 288-3107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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": "1743033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743033600000",
"number": "1043013030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14252 CULVER DR STE A-341",
"city": "IRVINE",
"state": "CA",
"postal_code": "926040317",
"telephone_number": "949-288-3107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24451 HEALTH CENTER DR",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926533689",
"telephone_number": "949-837-4500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUVELL CARE PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-27",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A",
"authorized_official_last_name": "MAHAN",
"authorized_official_first_name": "KIMIA",
"authorized_official_title_or_position": "M.D./PRESIDENT",
"authorized_official_telephone_number": "949-288-3107",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.