Cyrus Sedaghat, M.D., Apmc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A108751 Issued in CA

Legal business name

CYRUS SEDAGHAT, M.D., APMC

Practice address

18800 Delaware St
Suite 670
Huntington Beach, CA 92648-1959

Phone

(714) 500-8388

Fax

(714) 500-8389

NPI assigned

Nov 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Cyrus Sharuz Sedaghat, M.D.NPI 1063629079

Title

President

Phone

(714) 500-8388

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Cyrus Sharuz Sedaghat, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Irvine, CA
  • NPI 1063629079
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1053741298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 DELAWARE STREET",
            "address_2": "SUITE 670",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926487605",
            "telephone_number": "714-500-8388",
            "fax_number": "714-500-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 DELAWARE ST",
            "address_2": "SUITE 670",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481959",
            "telephone_number": "714-500-8388",
            "fax_number": "714-500-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYRUS SEDAGHAT, M.D., APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "SEDAGHAT",
        "authorized_official_first_name": "CYRUS",
        "authorized_official_middle_name": "SHARUZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-500-8388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A108751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "A108751",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.