Individual provider Active NPI

Amir G Nasseri, M.D.

  • Obstetrics & Gynecology Physician
  • Santa Ana, CA
National Provider Identifier
1063490712
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A68974 Issued in CA
Practice address
1155 W Central Ave
Suite 214
Santa Ana, CA 92707-3165
Phone
(714) 966-9094
NPI assigned
Jan 4, 2006
Last updated
Dec 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 9725 NV
Obstetrics & Gynecology Physician 207V00000X A68974 CA Primary

Addresses

Primary practice location

1155 W Central Ave
Suite 214
Santa Ana, CA 92707-3165

Mailing address

25 Arcade
Irvine, CA 92603-0119
Phone (949) 387-3801

Other identifiers 2

IdentifierTypeStateIssuer
002018860MedicaidNV
CS10501OtherNVPHARMACY/CDS

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081006000016 CA Practitioner - Obstetrics/Gynecology 0143246298 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A68974CAMDObstetrics & Gynecology Physician
7711NVMDObstetrics & Gynecology Physician
9725NVMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Aug 1, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Feb 20, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Feb 20, 2024 Accepting new patients
DHP of California Medical Group Inc Obstetrics & Gynecology CurrentSince Oct 7, 2014 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Unsom Multi-Spec GRP Pract S Obstetrics & Gynecology Past Accepting new patients
Magella Medical Group, Inc. Obstetrics & Gynecology PastSince Apr 1, 2000 Accepting new patients
Amir G Nasseri, MD, PC Obstetrics & Gynecology Past Accepting new patients
Lancaster OB Hospitalists Obstetrics & Gynecology Past Accepting new patients
Samir E. Hage, D.O., Inc. Obstetrics & Gynecology Past Accepting new patients

Locations

5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

43112 15th St W
Lancaster, CA 93534
Phone (661) 726-2222

44105 15th St W
Ste 301
Lancaster, CA 93534
Phone (661) 726-6180

44439 17th St W
Ste 104
Lancaster, CA 93534
Phone (661) 948-4566

13652 Cantara St
Panorama City, CA 91402
Phone (818) 375-2417

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235

1255 W Arrow Hwy
San Dimas, CA 91773
Phone (909) 394-2526

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1063490712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ARCADE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926030119",
            "telephone_number": "949-387-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 W CENTRAL AVE",
            "address_2": "SUITE 214",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927073165",
            "telephone_number": "714-966-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSERI",
        "first_name": "AMIR",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "9725",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A68974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002018860",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY/CDS",
            "identifier": "CS10501",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "43112 15th St W",
            "city": "Lancaster",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935346219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.