Individual provider Active NPI

Cyrus Sharuz Sedaghat, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Irvine, CA
National Provider Identifier
1063629079
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
A108751 Issued in CA
Practice address
15775 Laguna Canyon Rd Ste 110
Irvine, CA 92618-3192
Phone
(949) 228-1022
NPI assigned
May 17, 2007
Last updated
Oct 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X A108751 CA Primary

Addresses

Primary practice location

15775 Laguna Canyon Rd Ste 110
Irvine, CA 92618-3192

Mailing address

15775 Laguna Canyon Rd Ste 110
Irvine, CA 92618-3192
Phone (949) 228-1022

Other names 1

  • Dr. Nasser Sedaghat Former name

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
I20120801000739 CA Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 0547416851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15775 Laguna Canyon Rd
Suite 110
Irvine, CA 92618-3192
Phone (714) 500-8388

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
108751CAMDDentist
A108751CAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cyrus Sedaghat, M.D., Apmc CurrentSince Dec 1, 2013 Accepting new patients
Oc Surgery Center Current Accepting new patients
Opus Medical Center Inc. PastSince Mar 4, 2013 Accepting new patients
Coast Plaza Doctors Hospital Past Accepting new patients

Locations

15775 Laguna Canyon Rd
Ste 110
Irvine, CA 92618
Phone (714) 500-8388

15775 Laguna Canyon Rd
Ste 190
Irvine, CA 92618
Phone (714) 500-8388

Organizations & group practices 4

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1063629079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15775 LAGUNA CANYON RD STE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183192",
            "telephone_number": "949-228-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15775 LAGUNA CANYON RD STE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183192",
            "telephone_number": "949-228-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDAGHAT",
        "first_name": "CYRUS",
        "middle_name": "SHARUZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A108751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NASSER",
            "last_name": "SEDAGHAT",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.