Individual provider Active NPI

Parastoo Patricia Faraz-Eslami, M.D.

  • Obstetrics & Gynecology Physician
  • Rancho Mission Viejo, CA
National Provider Identifier
1245328889
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A84163 Issued in CA
Practice address
30492 Gateway PL Ste 110
Rancho Mission Viejo, CA 92694-1862
Phone
(657) 241-8601
Fax
(714) 665-4695
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A84163 CA Primary

Addresses

Primary practice location

30492 Gateway PL Ste 110
Rancho Mission Viejo, CA 92694-1862

Mailing address

30492 Gateway PL Ste 110
Rancho Mission Viejo, CA 92694-1862
Phone (657) 241-8601

Other identifiers 1

IdentifierTypeStateIssuer
CB327973OtherCAMEDICARE

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
I20040624001682 CA Practitioner - Obstetrics/Gynecology 7618953365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorialcare Medical FoundationGroup PAC ID 8729277314, 555 clinicians

Practice addresses (Care Compare)

600 Corporate Dr
Suite 210
Ladera Ranch, CA 92694-2110
Phone (949) 364-3940

Hospital & facility affiliations

  • Memorialcare Saddleback Medical Center Hospital, Laguna Hills, CA, CCN 050603

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
81.15
Promoting interoperability
100
Improvement activities
40
Cost
71.64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A84163CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorialcare Medical Foundation Obstetrics & Gynecology CurrentSince Sep 1, 2019 Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Bristol Park Medical Group, Inc Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients

Locations

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

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

600 Corporate Dr
Ste 210
Ladera Ranch, CA 92694
Phone (949) 364-2481

30492 Gateway Pl
Ste 110
Rancho Mission Viejo, CA 92694
Phone (657) 241-8601

30492 Gateway Pl
Ste 200
Rancho Mission Viejo, CA 92694
Phone (949) 364-3940

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

Hospital & facility affiliations 1

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1245328889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30492 GATEWAY PL STE 110",
            "city": "RANCHO MISSION VIEJO",
            "state": "CA",
            "postal_code": "926941862",
            "telephone_number": "657-241-8601",
            "fax_number": "714-665-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30492 GATEWAY PL STE 110",
            "city": "RANCHO MISSION VIEJO",
            "state": "CA",
            "postal_code": "926941862",
            "telephone_number": "657-241-8601",
            "fax_number": "714-665-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARAZ-ESLAMI",
        "first_name": "PARASTOO",
        "middle_name": "PATRICIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A84163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CB327973",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.