Individual provider Active NPI

Shouka Sharifpour

  • Rehabilitation Practitioner
  • Mission Viejo, CA
National Provider Identifier
1205236908
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
23228 Madero
Mission Viejo, CA 92691-2706
Phone
(949) 701-0880
NPI assigned
Aug 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X CA Primary

Addresses

Primary practice location

23228 Madero
Mission Viejo, CA 92691-2706

Mailing address

23228 Madero
Mission Viejo, CA 92691-2706
Phone (949) 454-3940

Other practice location 1

2901 Meadow Lark Dr Fl 1
San Diego, CA 92123-2711
Phone (619) 671-6562

Other practice location 2

301 The City Dr S Fl 2
Orange, CA 92868-3205
Phone (714) 935-6363

Other practice location 3

545 Laurel St
San Diego, CA 92101-1634
Phone (619) 233-4399

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Orange PastSince Aug 1, 2020 Accepting new patients
Community Research Foundation Inc Case Manager/Care Coordinator Past Accepting new patients
County of Orange PastSince Aug 1, 2020 Accepting new patients
Community Research Foundation Inc Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1205236908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23228 MADERO",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912706",
            "telephone_number": "949-454-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23228 MADERO",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912706",
            "telephone_number": "949-701-0880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Meadow Lark Dr Fl 1",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921232711",
            "country_code": "US",
            "telephone_number": "619-671-6562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 The City Dr S Fl 2",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683205",
            "country_code": "US",
            "telephone_number": "714-935-6363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "545 Laurel St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921011634",
            "country_code": "US",
            "telephone_number": "619-233-4399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARIFPOUR",
        "first_name": "SHOUKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": null,
            "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 May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.