Organization Active NPI

Dr Mirzania Lipocosmetic Surgery Consultant Inc

  • Surgery Physician
  • Garden Grove, CA
National Provider Identifier
1073492633
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
DR MIRZANIA LIPOCOSMETIC SURGERY CONSULTANT INC
Practice address
14331 Euclid St Ste 204
Garden Grove, CA 92843-6509
Phone
(714) 726-2375
NPI assigned
Aug 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Authorized official

Name
Hamidreza Mirzania, MDNPI 1154609238
Title
President
Phone
(714) 726-2375

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

14331 Euclid St Ste 204
Garden Grove, CA 92843-6509

Mailing address

14331 Euclid St Ste 204
Garden Grove, CA 92843-6509
Phone (714) 726-2375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251120003529 CA Part B Supplier - Clinic/Group Practice 2163914813 Receives reassigned benefits from 1 practitioner
Practice locations: Garden Grove, CA

National Provider Directory

National Provider Directory

Locations

14331 Euclid St
Ste 204
Garden Grove, CA 92843
Phone (714) 726-2375

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1073492633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14331 EUCLID ST STE 204",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928436509",
            "telephone_number": "714-726-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14331 EUCLID ST STE 204",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928436509",
            "telephone_number": "714-726-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MIRZANIA LIPOCOSMETIC SURGERY CONSULTANT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "MIRZANIA",
        "authorized_official_first_name": "HAMIDREZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-726-2375",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.