Organization Active NPI

Elham Taeed MD a Medical Corp

  • Medical Specialty Clinic/Center
  • Irvine, CA
National Provider Identifier
1295083939
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
A54363 Issued in CA
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

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Elham Taeed, MDNPI 1427007277
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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
A54363OtherCAPROFESSIONAL STATE LICENSE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.