Mani Ehteshami, MD

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

G74263 Issued in CA

Practice address

27 Clermont
Newport Beach, CA 92657-1069

Phone

(949) 706-2796

Fax

(949) 706-2072

NPI assigned

Mar 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1295704047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CLERMONT",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926571069",
            "telephone_number": "949-706-2796",
            "fax_number": "949-706-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CLERMONT",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926571069",
            "telephone_number": "949-706-2796",
            "fax_number": "949-706-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHTESHAMI",
        "first_name": "MANI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "CA",
            "license": "G74263",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CA",
            "license": "G74263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caylin Effendi, PHARM.D.
• Tandis Eftekhari, DMD
• David Wayne Eggleston, D.D.S.
• Shannon Lee Eggleston, NATUROPATH
• Jazmin Eguiluz
• Michael J Eilbert, M.D
• Ek Psych - Emotive Knowledge Psychology a Professional Corporation
• Elham Elahi, MD, HOMEOPATHY
• Elaine Y. King M.D.,Inc.
• Bethany Elam, RD

• Anatomic Pathology Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Anatomic Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.