Active NPI
Jehangir Yeganeh, M.D.
- Interventional Cardiology Physician
- Lancaster, CA
National Provider Identifier
1295766434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- A30192
- Practice address
- 44725 10TH St W
Suite 130
Lancaster, CA 93534-3033 - Phone
- (661) 948-0754
- Fax
- (661) 948-1156
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | A30192 | CA | Primary |
Addresses
Primary practice location
44725 10TH St W
Suite 130
Lancaster, CA 93534-3033
Mailing address
44725 10TH St W Ste 130
Lancaster, CA 93534-3051
Phone (661) 948-0754
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A301920 | Medicaid | CA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30192 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| A30192 | CA | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Medical Group, Inc. | Current | Accepting new patients | |
| Valley Foot & Ankle Center Inc. | Past | Accepting new patients |
Locations
275 N El Cielo Rd
Palm Springs, CA 92262
Phone (760) 320-8814
Interoperability endpoints
- jehangir.yeganeh.p5@direct.mydohc.nextgenshare.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Palm Springs, CA
- NPI 1114918612
-
- Foot & Ankle Surgery Podiatrist
- Lancaster, CA
- NPI 1265991699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226620800000",
"number": "1295766434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44725 10TH ST W STE 130",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935343051",
"telephone_number": "661-948-0754",
"fax_number": "661-948-1156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44725 10TH ST W",
"address_2": "SUITE 130",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935343033",
"telephone_number": "661-948-0754",
"fax_number": "661-948-1156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEGANEH",
"first_name": "JEHANGIR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2008-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CA",
"license": "A30192",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A301920",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.