Individual provider Active NPI

Siamak Milanchi, M.D.

  • Colon & Rectal Surgery Physician
  • Irvine, CA
National Provider Identifier
1083829956
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
A92723 Issued in CA
Practice address
16300 Sand Canyon Ave Ste 604
Irvine, CA 92618-3706
Phone
(949) 429-0268
Fax
(949) 420-2180
NPI assigned
May 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A92723 CA
Colon & Rectal Surgery Physician 208C00000X A92723 CA Primary

Addresses

Primary practice location

16300 Sand Canyon Ave Ste 604
Irvine, CA 92618-3706

Mailing address

PO Box 52435
Irvine, CA 92619-2435

Other names 1

  • Siamak Milanchi Anarkooli 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
I20090807000125 CA Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 3678626769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16300 Sand Canyon Ave
Suite 604
Irvine, CA 92618-3706
Phone (949) 429-0268

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
92723CAMDMarriage & Family Therapist
A92723CAMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Siamak Milanchi, MD Inc. Surgery CurrentSince Apr 13, 2011 Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Alta Newport Hospital, LLC Past Accepting new patients

Locations

16300 Sand Canyon Ave
Ste 604
Irvine, CA 92618
Phone (949) 336-8761

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: smilanchi@drmilanchi.officeally.direct

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1083829956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52435",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926192435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16300 SAND CANYON AVE STE 604",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183706",
            "telephone_number": "949-429-0268",
            "fax_number": "949-420-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILANCHI",
        "first_name": "SIAMAK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-13",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A92723",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "A92723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIAMAK",
            "last_name": "MILANCHI ANARKOOLI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.