Organization Active NPI

Alexander Taghva, M.D., Inc.

  • Neurological Surgery Physician
  • Mission Viejo, CA
National Provider Identifier
1205210747
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A96899 Issued in CA
Legal business name
ALEXANDER TAGHVA, M.D., INC.
Practice address
26732 Crown Valley Pkwy
Suite 541
Mission Viejo, CA 92691-6376
Phone
(949) 388-7190
Fax
(949) 388-7150
NPI assigned
Jul 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Authorized official

Name
Mr. Alexander S Taghva, M.D.NPI 1548439920
Title
Owner
Phone
(949) 388-7190

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
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X A96899 CA Primary

Addresses

Primary practice location

26732 Crown Valley Pkwy
Suite 541
Mission Viejo, CA 92691-6376

Mailing address

26732 Crown Valley Pkwy
Suite 541
Mission Viejo, CA 92691-6376
Phone (949) 388-7190

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20151015001753 CA Part B Supplier - Clinic/Group Practice 5597074401 Receives reassigned benefits from 3 practitioners
Practice locations: Mission Viejo, CA
O20190307000258 CA DME Supplier - Physician - Neurosurgery 5597074401 Practice locations: Mission Viejo, CA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

26732 Crown Valley Pkwy
Mission Viejo, CA 92691
Phone (949) 364-1007

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1205210747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26732 CROWN VALLEY PKWY",
            "address_2": "SUITE 541",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916376",
            "telephone_number": "949-388-7190",
            "fax_number": "949-388-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26732 CROWN VALLEY PKWY",
            "address_2": "SUITE 541",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916376",
            "telephone_number": "949-388-7190",
            "fax_number": "949-388-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER TAGHVA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "TAGHVA",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-388-7190",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A96899",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 13, 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.