Individual provider Active NPI

Reza Shafee, M.D.

  • Obstetrics & Gynecology Physician
  • Santa Ana, CA
National Provider Identifier
1275586992
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A85480 Issued in CA
Practice address
2010 E 1St St
Suite 130
Santa Ana, CA 92705-4079
Phone
(714) 352-2287
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A85480 CA Primary
Family Medicine Physician 207Q00000X A85480 CA

Addresses

Primary practice location

2010 E 1St St
Suite 130
Santa Ana, CA 92705-4079

Mailing address

1400 N Main St
Santa Ana, CA 92701-2321
Phone (714) 352-2287

Other identifiers 1

IdentifierTypeStateIssuer
00A854800MedicaidCA

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
I20050617000491 CA Practitioner - Obstetrics/GynecologyPractitioner - Family PracticePractitioner - Gynecological Oncology 9436193679 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Texas Tech University Health Science Center School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2010 E 1St St
Suite 130
Santa Ana, CA 92705-4086
Phone (714) 836-3540

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
85480CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
DHP of California Medical Group Inc Obstetrics & Gynecology CurrentSince Sep 28, 2022 Accepting new patients
Obhg California, P.C. Family Medicine CurrentSince Jun 15, 2022 Accepting new patients
Reza Shafee MD Inc. CurrentSince Oct 4, 2012 Accepting new patients
South Coast Global Medical Center, Inc Past Accepting new patients
Family Practice of Glendale a Medical Corporation Family Medicine PastSince Jan 1, 1990 Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
Alta Newport Hospital, LLC Past Accepting new patients

Locations

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

2321 E 4th St
Ste 260
Santa Ana, CA 92705

2010 E 1st St
Ste 130
Santa Ana, CA 92705
Phone (714) 352-2287

2010 E 1st St
#130
Santa Ana, CA 92705
Phone (714) 836-3540

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1275586992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N MAIN ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012321",
            "telephone_number": "714-352-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 E 1ST ST",
            "address_2": "SUITE 130",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054079",
            "telephone_number": "714-352-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFEE",
        "first_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A85480",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A85480",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A854800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.