Integrative Allergy and Immunology of Southern California, Inc

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

INTEGRATIVE ALLERGY AND IMMUNOLOGY OF SOUTHERN CALIFORNIA, INC

Practice address

520 Superior Ave Ste 270
Newport Beach, CA 92663-3668

Phone

(714) 919-9043

NPI assigned

Jul 23, 2021

Last updated

Jul 23, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sahar Faghih, DONPI 1194914226

Title

Owner

Phone

(813) 956-3277

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, and the practitioner matching its NPPES authorized official.

• Sahar Z Faghih, D.O.

  • Allergy & Immunology Physician
  • Fullerton, CA
  • NPI 1194914226
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1184297467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8502 E CHAPMAN AVE # 313",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928692461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVE STE 270",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633668",
            "telephone_number": "714-919-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE ALLERGY AND IMMUNOLOGY OF SOUTHERN CALIFORNIA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "FAGHIH",
        "authorized_official_first_name": "SAHAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-956-3277",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Allergy & Immunology Physician in Newport Beach, CA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.