Individual provider Active NPI

Kamran Haghighat, MD

  • Internal Medicine Physician
  • Anaheim, CA
National Provider Identifier
1205826583
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A56353 Issued in CA
Practice address
3010 W Orange Ave
Ste. 302
Anaheim, CA 92804-3169
Phone
(714) 826-1200
Fax
(714) 229-5399
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A56353 CA Primary
Pediatrics Physician 208000000X A56353 CA

Addresses

Primary practice location

3010 W Orange Ave
Ste. 302
Anaheim, CA 92804-3169

Mailing address

2742 Dow Ave
Tustin, CA 92780-7242
Phone (714) 665-1600

Other identifiers 1

IdentifierTypeStateIssuer
00A563530MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100315000688 CA Practitioner - Internal Medicine 0446385553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorialcare Medical FoundationGroup PAC ID 8729277314, 555 clinicians

Practice addresses (Care Compare)

100 S Anaheim Blvd
Suite 101
Anaheim, CA 92805-3848
Phone (714) 826-1200

15464 Goldenwest St
Westminster, CA 92683-6149
Phone (714) 891-9008

2110 N Bellflower Blvd
Long Beach, CA 90815-3126
Phone (562) 346-2222

21601 Avalon Blvd
Apt 124
Carson, CA 90745-2265
Phone (657) 241-4080

3828 Schaufele Ave
Long Beach, CA 90808-1793

4447 Candlewood St
Lakewood, CA 90712-1736
Phone (657) 241-9935

5700 E 2ND St
Long Beach, CA 90803-5046
Phone (657) 276-4738

722 Baker St
Costa Mesa, CA 92626-4320
Phone (714) 557-6300

9122 Adams Ave
Huntington Beach, CA 92646-3405
Phone (714) 378-0900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56353CAMDGeneral Practice Dentistry
A56353CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorialcare Medical Foundation Internal Medicine CurrentSince Feb 1, 2011 Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Bristol Park Medical Group, Inc Internal Medicine Past Accepting new patients
Children'S Hospital at Mission Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Children'S Hospital of Orange County Past Accepting new patients

Locations

3010 W Orange Ave
Ste 302
Anaheim, CA 92804
Phone (714) 825-1200

100 S Anaheim Blvd
Ste 101
Anaheim, CA 92805
Phone (714) 826-1200

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

11420 Warner Ave
Fountain Vly, CA 92708
Phone (714) 549-1300

17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592

2110 N Bellflower Blvd
Long Beach, CA 90815
Phone (562) 346-2222

2742 Dow Ave
Tustin, CA 92780
Phone (714) 665-1600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: khaghighat113662@direct.memorialcare.org

Organizations & group practices 9

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.

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1205826583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2742 DOW AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807242",
            "telephone_number": "714-665-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 W ORANGE AVE",
            "address_2": "STE. 302",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043169",
            "telephone_number": "714-826-1200",
            "fax_number": "714-229-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGHIGHAT",
        "first_name": "KAMRAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A56353",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A56353",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A563530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.