Organization Active NPI

Peyman Tabrizi, MD Inc

  • Neurological Surgery Physician
  • Santa Ana, CA
National Provider Identifier
1336340264
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A63188 Issued in CA
Legal business name
PEYMAN TABRIZI, MD INC
Practice address
999 N Tustin Ave Ste 109
Santa Ana, CA 92705-6504
Phone
(310) 914-9150
Fax
(310) 914-9705
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2013

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

Authorized official

Name
Peyman Tabrizi, M.D.
Title
Medical Doctor
Phone
(310) 914-9705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X A63188 CA Primary

Addresses

Primary practice location

999 N Tustin Ave Ste 109
Santa Ana, CA 92705-6504

Mailing address

PO Box 1161
Tustin, CA 92781-1161
Phone (310) 914-9150

Other identifiers 1

IdentifierTypeStateIssuer
00A631880MedicaidCA

National Provider Directory

National Provider Directory

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1336340264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1161",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927811161",
            "telephone_number": "310-914-9150",
            "fax_number": "310-914-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N TUSTIN AVE STE 109",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056504",
            "telephone_number": "310-914-9150",
            "fax_number": "310-914-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEYMAN TABRIZI, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "TABRIZI",
        "authorized_official_first_name": "PEYMAN",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "310-914-9705",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A63188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A631880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; 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.