Active NPI
Neda Vossoughi, MD
- General Practice Physician
- Irvine, CA
National Provider Identifier
1114063898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A3530487
- Practice address
- 17232 Red Hill Avenue
Irvine, CA 92614 - Phone
- (949) 752-1111
- Fax
- (949) 752-1133
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A3530487 | CA | Primary |
Addresses
Primary practice location
17232 Red Hill Avenue
Irvine, CA 92614
Mailing address
18582 Beach Blvd
Suite 23a
Huntington Beach, CA 92648
Phone (714) 964-4448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A3530487 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Procare Work Injury Center & Urgent Care | Past | Accepting new patients | |
| Family Care Medical Ass | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Cheshire Medical Corp
- Occupational Medicine Physician
- Huntington Beach, CA
- NPI 1962540682
-
- Family Medicine Physician
- Huntington Beach, CA
- NPI 1043359433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114063898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18582 BEACH BLVD",
"address_2": "SUITE 23A",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "92648",
"telephone_number": "714-964-4448",
"fax_number": "714-963-3780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17232 RED HILL AVENUE",
"city": "IRVINE",
"state": "CA",
"postal_code": "92614",
"telephone_number": "949-752-1111",
"fax_number": "949-752-1133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOSSOUGHI",
"first_name": "NEDA",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A3530487",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.