Active NPI
Elham Taeed MD a Medical Corp
- Medical Specialty Clinic/Center
- Irvine, CA
National Provider Identifier
1295083939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- A54363
- Legal business name
- ELHAM TAEED MD A MEDICAL CORP
- Practice address
- 4950 Barranca Pkwy Ste 308
Irvine, CA 92604-4631 - Phone
- (949) 548-5700
- Fax
- (949) 288-0254
- NPI assigned
- Aug 28, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elham Taeed, MD
- Title
- President
- Phone
- (949) 548-5700
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | |||
| Medical Specialty Clinic/Center | 261QM2500X | A54363 | CA | Primary |
Addresses
Primary practice location
4950 Barranca Pkwy Ste 308
Irvine, CA 92604-4631
Mailing address
4950 Barranca Pkwy Ste 308
Irvine, CA 92604-4631
Phone (949) 548-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A54363 | Other | CA | PROFESSIONAL STATE LICENSE |
National Provider Directory
National Provider DirectoryLocations
2301 Newport Blvd
Costa Mesa, CA 92627
Phone (949) 548-5700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Irvine, CA
- NPI 1427007277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723680000000",
"number": "1295083939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4950 BARRANCA PKWY STE 308",
"city": "IRVINE",
"state": "CA",
"postal_code": "926044631",
"telephone_number": "949-548-5700",
"fax_number": "949-288-0254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4950 BARRANCA PKWY STE 308",
"city": "IRVINE",
"state": "CA",
"postal_code": "926044631",
"telephone_number": "949-548-5700",
"fax_number": "949-288-0254"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELHAM TAEED MD A MEDICAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-28",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A",
"authorized_official_last_name": "TAEED",
"authorized_official_first_name": "ELHAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-548-5700",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "CA",
"license": "A54363",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL STATE LICENSE",
"identifier": "A54363",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.