NPIMap

Individual provider Active NPI

Manoochehr Abadian Sharifabad, M.D.

  • Pulmonary Disease Physician
  • Fountain Valley, CA
National Provider Identifier
1164655817
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
4301099978 Issued in MI
Practice address
17100 Euclid St
Fountain Valley, CA 92708-4004
Phone
(714) 241-8552
Fax
(714) 241-8551
NPI assigned
Aug 28, 2009
Last updated
Apr 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 4301099978 MI Primary
Pulmonary Disease Physician 207RP1001X A107180 CA

Addresses

Primary practice location

17100 Euclid St
Fountain Valley, CA 92708-4004

Mailing address

17100 Euclid St
Fountain Valley, CA 92708-4004
Phone (714) 241-8552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150112000223 CA Practitioner - Critical Care (Intensivists) 0840334959 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of CaliforniaGroup PAC ID 5597663641, 61 clinicians
UC RegentsGroup PAC ID 7416869516, 316 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7002

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
64.37
Promoting interoperability
100
Improvement activities
40
Cost
72.88

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
83.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A107180CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners Current Accepting new patients
First Choice Physician Partners Pulmonary Disease CurrentSince May 24, 2016 Accepting new patients
UC Regents Pulmonary Disease CurrentSince Apr 16, 2025 Accepting new patients
Regents of the University of California Pulmonary Disease CurrentSince Mar 21, 2024 Accepting new patients
UC Regents Current Accepting new patients
First Choice Physician Partners CurrentSince May 24, 2016 Accepting new patients
Samaritan Medical Services, P.C. Past Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
UC Regents Past Accepting new patients
Lung and Sleep Medicine P.C. Pulmonary Disease PastSince Apr 1, 2007 Accepting new patients
Uci Medical Group Past Accepting new patients
Pulmonary Associates, PC Pulmonary Disease Past Accepting new patients
Hurley Medical Center Past Accepting new patients
McLaren Flint Past Accepting new patients

Locations

17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

1325 N Rose Dr
Ste 100
Placentia, CA 92870
Phone (714) 729-0103

Interoperability endpoints

  • Direct secure messaging: manoochehr.abadian.sharifabad.1@30912.direct.athenahealth.com
  • Direct secure messaging: manoochehrabadiansharifabad@papc.allscriptsdirect.net

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 2

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": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1164655817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 EUCLID ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084004",
            "telephone_number": "714-241-8552",
            "fax_number": "714-241-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 EUCLID ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084004",
            "telephone_number": "714-241-8552",
            "fax_number": "714-241-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABADIAN SHARIFABAD",
        "first_name": "MANOOCHEHR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-28",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MI",
            "license": "4301099978",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A107180",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.