Individual provider Active NPI

Hooshang Javaheri, MD

  • Internal Medicine Physician
  • Anaheim, CA
National Provider Identifier
1063419448
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A34459 Issued in CA
Practice address
1236 N. Magnolia Ave.
Anaheim, CA 92801
Phone
(714) 995-1000
Fax
(714) 828-7926
NPI assigned
Jun 30, 2005
Last updated
Jan 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A34459 CA Primary

Addresses

Primary practice location

1236 N. Magnolia Ave.
Anaheim, CA 92801

Mailing address

1236 N. Magnolia Ave.
Anaheim, CA 92801
Phone (949) 854-8354

Other identifiers 1

IdentifierTypeStateIssuer
00A344590OtherCAMEDI CAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A34459CAMDInternal Medicine Physician
34459CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Davita Medical Group Talbert California, P.C. Internal Medicine Past Accepting new patients
Talbert Medical Group, P.C. Internal Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hooshangjavaheri@hcpca.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1063419448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 N. MAGNOLIA AVE.",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92801",
            "telephone_number": "949-854-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 N. MAGNOLIA AVE.",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92801",
            "telephone_number": "714-995-1000",
            "fax_number": "714-828-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVAHERI",
        "first_name": "HOOSHANG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A34459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL",
            "identifier": "00A344590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.