Organization Active NPI

Nahid Birjandi Podiatric Inc

  • Podiatric Clinic/Center
  • Mission Viejo, CA
National Provider Identifier
1093037061
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
E3841 Issued in CA
Legal business name
NAHID BIRJANDI PODIATRIC INC
Practice address
27871 Medical Center Rd
Suite 130
Mission Viejo, CA 92691-6334
Phone
(949) 365-1700
Fax
(949) 365-0208
NPI assigned
Feb 18, 2010
Last updated
Nov 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Authorized official

Name
Dr. Nahid Birjandi, D.P.M.NPI 1508932120
Title
Ower
Phone
(949) 235-6950

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
Podiatric Clinic/Center 261QP1100X E3841 CA Primary

Addresses

Primary practice location

27871 Medical Center Rd
Suite 130
Mission Viejo, CA 92691-6334

Mailing address

27871 Medical Center Rd
Suite 130
Mission Viejo, CA 92691-6334
Phone (949) 365-1700

Other identifiers 2

IdentifierTypeStateIssuer
000E38411MedicaidCA
1508932120OtherCANPI TYPE 1

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100603000236 CA Part B Supplier - Clinic/Group Practice 6406985217 Receives reassigned benefits from 1 practitioner
Practice locations: Mission Viejo, CA
O20100930079300 CA DME Supplier - Physician - Podiatry 6406985217 Practice locations: Mission Viejo, CA

National Provider Directory

National Provider Directory

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": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1093037061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27871 MEDICAL CENTER RD",
            "address_2": "SUITE 130",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916334",
            "telephone_number": "949-365-1700",
            "fax_number": "949-365-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27871 MEDICAL CENTER RD",
            "address_2": "SUITE 130",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916334",
            "telephone_number": "949-365-1700",
            "fax_number": "949-365-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAHID BIRJANDI PODIATRIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "BIRJANDI",
        "authorized_official_first_name": "NAHID",
        "authorized_official_title_or_position": "OWER",
        "authorized_official_telephone_number": "949-235-6950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "CA",
            "license": "E3841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E38411",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  TYPE 1",
            "identifier": "1508932120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.