Shirin Afrasiabi MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A054306 Issued in CA

Legal business name

SHIRIN AFRASIABI MD INC

Practice address

2301 Newport Blvd
Costa Mesa, CA 92627-6576

Phone

(949) 548-5700

NPI assigned

Jun 19, 2012

Organization subpart

No

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

Authorized official

Name

Shirin Afrasiabi, MDNPI 1548219140

Title

President/Owner

Phone

(949) 548-5700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Shirin Afrasiabi, M.D. INC

  • Internal Medicine Physician
  • Costa Mesa, CA
  • NPI 1548219140
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507766400000",
    "number": "1134482797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 NEWPORT BLVD",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926276576",
            "telephone_number": "949-548-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 NEWPORT BLVD",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926276576",
            "telephone_number": "949-548-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRIN AFRASIABI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2017-10-12",
        "status": "A",
        "authorized_official_last_name": "AFRASIABI",
        "authorized_official_first_name": "SHIRIN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "949-548-5700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A054306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SE Kuee Shin
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• Marta M Shinn, PHD.
• Cynthia Lynn Shippboccara, DC
• Allison Elizabeth Sholly, OD
• December Loraine Shore, RN
• Zachary Shube
• Lakshmi Shukla, MD
• Crystal Carleen Siafega

• Internal Medicine Physician in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; 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.