Individual provider Active NPI

Kaveh Karandish, MD

  • Internal Medicine Physician
  • Corona del Mar, CA
National Provider Identifier
1346485919
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C168905 Issued in CA
Practice address
2801 E Coast Hwy Ste E
Corona del Mar, CA 92625-2231
Phone
(949) 242-9166
NPI assigned
Dec 10, 2008
Last updated
Mar 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 46491 AZ
Internal Medicine Physician 207R00000X 103915 FL
Internal Medicine Physician 207R00000X C168905 CA Primary

Addresses

Primary practice location

2801 E Coast Hwy Ste E
Corona del Mar, CA 92625-2231

Mailing address

2801 E Coast Hwy Ste E
Corona del Mar, CA 92625-2231
Phone (949) 242-9166

Other practice location 1

2801 E Coast Hwy Ste E
Corona Del Mar, CA 92625-2231
Phone (949) 242-9166

Other identifiers 1

IdentifierTypeStateIssuer
C168905OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13362 N 93Rd PL
Scottsdale, AZ 85260-7403

1701 E McFadden Ave
Suite D
Santa Ana, CA 92705-4647

27574 Commerce Ctr Dr
Suite 232
Temecula, CA 92590-2536

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1629

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C168905CAMDInternal Medicine Physician
103915FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Medical Inc CurrentSince Nov 18, 2025 Accepting new patients
Swiftcare Medical Inc Internal Medicine PastSince Jun 1, 2012 Accepting new patients
East Florida Hospitalists LLC Past Accepting new patients
Piller Child Development LLC PastSince Nov 1, 2017 Accepting new patients
Rockledge Hospitalist Services LLC Past Accepting new patients
La Crescenta Hospice Inc PastSince Oct 13, 2022 Accepting new patients
Ak Care Hospice PastSince Sep 11, 2021 Accepting new patients

Locations

5350 Madison Ave
Sacramento, CA 95841
Phone (916) 677-0008

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1346485919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 E COAST HWY STE E",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252231",
            "telephone_number": "949-242-9166",
            "fax_number": "480-837-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 E COAST HWY STE E",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252231",
            "telephone_number": "949-242-9166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 E Coast Hwy Ste E",
            "address_purpose": "LOCATION",
            "city": "Corona Del Mar",
            "state": "CA",
            "postal_code": "926252231",
            "country_code": "US",
            "telephone_number": "949-242-9166",
            "fax_number": "480-837-6804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARANDISH",
        "first_name": "KAVEH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-10",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "46491",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "103915",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C168905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "C168905",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona del Mar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.