Organization Active NPI

Advanced Family Practice Specialty, Inc.

  • Family Medicine Physician
  • Irvine, CA
National Provider Identifier
1083887202
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0A73928 Issued in CA
Legal business name
ADVANCED FAMILY PRACTICE SPECIALTY, INC.
Practice address
4950 Barranca Pkwy Ste 111
Irvine, CA 92604-4630
Phone
(949) 654-0660
Fax
(949) 654-0640
NPI assigned
Apr 9, 2008
Last updated
Apr 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Dr. Mahshid Elmzadeh, M.D.
Title
Secretary
Phone
(949) 654-0660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0A73928 CA Primary

Addresses

Primary practice location

4950 Barranca Pkwy Ste 111
Irvine, CA 92604-4630

Mailing address

4950 Barranca Pkwy. Suite 111
Irvine, CA 92604-4630
Phone (949) 654-0660

Other identifiers 1

IdentifierTypeStateIssuer
5MedicaidCA

National Provider Directory

National Provider Directory

Locations

4950 Barranca Pkwy
Ste 111
Irvine, CA 92604
Phone (949) 652-2020

1125 E 17th St
Ste N
Santa Ana, CA 92701
Phone (714) 835-9147

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1083887202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 BARRANCA PKWY. SUITE 111",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044630",
            "telephone_number": "949-654-0660",
            "fax_number": "949-654-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 BARRANCA PKWY STE 111",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044630",
            "telephone_number": "949-654-0660",
            "fax_number": "949-654-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FAMILY PRACTICE SPECIALTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "ELMZADEH",
        "authorized_official_first_name": "MAHSHID",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "949-654-0660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "0A73928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.