NPIMap

Organization Active NPI

Shahla Heshmati M.D., Inc.

  • Primary Care Clinic/Center
  • Irvine, CA
National Provider Identifier
1306153382
Registry record updated Sep 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A50416 Issued in CA
Legal business name
SHAHLA HESHMATI M.D., INC.
Practice address
15785 Laguna Canyon Rd Ste 250
Irvine, CA 92618-3179
Phone
(949) 726-1100
NPI assigned
Sep 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2010

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

Authorized official

Name
Dr. Shahla Heshmati, M.D.NPI 1831203744
Title
President
Phone
(949) 726-1100

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
Primary Care Clinic/Center 261QP2300X A50416 CA Primary

Addresses

Primary practice location

15785 Laguna Canyon Rd Ste 250
Irvine, CA 92618-3179

Mailing address

PO Box 4084
Tustin, CA 92781-4084
Phone (949) 726-1100

National Provider Directory

National Provider Directory

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": "1284163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284163200000",
    "number": "1306153382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4084",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927814084",
            "telephone_number": "949-726-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15785 LAGUNA CANYON RD STE 250",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183179",
            "telephone_number": "949-726-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHLA HESHMATI M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-11",
        "last_updated": "2010-09-11",
        "status": "A",
        "authorized_official_last_name": "HESHMATI",
        "authorized_official_first_name": "SHAHLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-726-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A50416",
            "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 Sep 11, 2010; 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.