Individual provider Active NPI

Jehangir Yeganeh, M.D.

  • Interventional Cardiology Physician
  • Lancaster, CA
National Provider Identifier
1295766434
Registry record updated Nov 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A30192 Issued in CA
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

Updated by the provider on Nov 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A301920MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090127000500 CA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 4284798828 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30192CAMDOrthodontics and Dentofacial Orthopedic Dentist
A30192CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Medical Group, Inc. CurrentSince Mar 16, 2019 Accepting new patients
Valley Foot & Ankle Center Inc. PastSince Dec 1, 2007 Accepting new patients

Locations

275 N El Cielo Rd
Palm Springs, CA 92262
Phone (760) 320-8814

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.