Individual provider Active NPI

Marco M Zahedi, M.D., M.P.H.

  • Family Medicine Physician
  • Santa Ana, CA
National Provider Identifier
1063779163
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A138224 Issued in CA
Practice address
1200 N Tustin Ave Ste 120
Santa Ana, CA 92705-6502
Phone
(949) 371-9862
Fax
(866) 439-4879
NPI assigned
Apr 13, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A138224 CA
Addiction Medicine (Family Medicine) Physician 207QA0401X A138224 CA
Family Medicine Physician 207Q00000X A138224 CA Primary

Addresses

Primary practice location

1200 N Tustin Ave Ste 120
Santa Ana, CA 92705-6502

Mailing address

3972 Barranca Pkwy Ste J
Unit 490
Irvine, CA 92606-8291

Other practice location 1

1830 Commercenter E
San Bernardino, CA 92408-3406
Phone (909) 257-8796

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
I20151113001020 CA Practitioner - General Practice 0749590156 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Chicago College of Medicine and Surgery, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16520 Bake Pkwy
Suite 115
Irvine, CA 92618-4688
Phone (949) 857-4444

1830 Commercenter E
San Bernardino, CA 92408-3406
Phone (909) 257-8796

999 N Tustin Ave
Suite 222
Santa Ana, CA 92705-6506
Phone (949) 371-9862

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A138224CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marco M Zahedi MD a Medical Corporation General Practice CurrentSince Apr 16, 2017 Accepting new patients
VMC Center for Regenerative Medicine Inc CurrentSince Oct 1, 2025 Accepting new patients
Alta Newport Hospital, LLC Past Accepting new patients
Karen Tafreshi Chiropractic, Inc. PastSince Jan 1, 2020 Accepting new patients

Locations

3972 Barranca Pkwy
Ste J490
Irvine, CA 92606

3972 Barranca Pkwy
Ste J
Irvine, CA 92606
Phone (949) 943-4910

16520 Bake Pkwy
Ste 115
Irvine, CA 92618
Phone (708) 966-3025

5240 E Beverly Blvd
Los Angeles, CA 90022
Phone (323) 201-4154

999 N Tustin Ave
Ste 222
Santa Ana, CA 92705
Phone (714) 991-7246

1200 N Tustin Ave
Ste 120
Santa Ana, CA 92705
Phone (714) 340-5990

1830 Commercenter E
Sn Bernrdno, CA 92408
Phone (909) 257-8796

1830 Commercenter E
Ste E
Sn Bernrdno, CA 92408

24159 Magic Mountain Pkwy
Valencia, CA 91355
Phone (661) 222-9117

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1063779163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3972 BARRANCA PKWY STE J",
            "address_2": "UNIT 490",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926068291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N TUSTIN AVE STE 120",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056502",
            "telephone_number": "949-371-9862",
            "fax_number": "866-439-4879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1830 Commercenter E",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083406",
            "country_code": "US",
            "telephone_number": "909-257-8796",
            "fax_number": "844-706-2769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAHEDI",
        "first_name": "MARCO",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-13",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A138224",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A138224",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A138224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.