Organization Active NPI

Sepideh Kazemi MD Inc a Professional Corporation

  • Interventional Cardiology Physician
  • Irvine, CA
National Provider Identifier
1295093490
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
SEPIDEH KAZEMI MD INC A PROFESSIONAL CORPORATION
Practice address
16300 Sand Canyon Ave Ste 601
Irvine, CA 92618-3706
Phone
(949) 241-3476
Fax
(949) 341-9021
NPI assigned
Apr 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Authorized official

Name
Sepideh Kazemi, MDNPI 1518974583
Title
Owner/President
Phone
(949) 241-3476

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

16300 Sand Canyon Ave Ste 601
Irvine, CA 92618-3706

Mailing address

16300 Sand Canyon Ave Ste 601
Irvine, CA 92618-3706
Phone (949) 453-9393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120628000271 CA Part B Supplier - Clinic/Group Practice 8123283991 Receives reassigned benefits from 1 practitioner
Practice locations: Irvine, CA

National Provider Directory

National Provider Directory

Locations

16300 Sand Canyon Ave
Ste 601
Irvine, CA 92618
Phone (949) 453-9393

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": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1295093490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16300 SAND CANYON AVE STE 601",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183706",
            "telephone_number": "949-453-9393",
            "fax_number": "949-453-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16300 SAND CANYON AVE STE 601",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183706",
            "telephone_number": "949-241-3476",
            "fax_number": "949-341-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEPIDEH KAZEMI MD INC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "KAZEMI",
        "authorized_official_first_name": "SEPIDEH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "949-241-3476",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.