Active NPI
Kaveh Karandish, MD
- Internal Medicine Physician
- Corona del Mar, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C168905
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C168905 | Other | CA | MEDICAL 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
- Community Adult Home Health Care, Inc.
- Pure Soul Hospice, Inc
- Az Hospice Palliative Care, Inc
- Touch of Care Hospice, Inc.
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1629 |
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C168905 | CA | MD | Internal Medicine Physician |
| 103915 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Health Medical Inc | Current | Accepting new patients | |
| Swiftcare Medical Inc | Internal Medicine | Past | Accepting new patients |
| East Florida Hospitalists LLC | Past | Accepting new patients | |
| Piller Child Development LLC | Past | Accepting new patients | |
| Rockledge Hospitalist Services LLC | Past | Accepting new patients | |
| La Crescenta Hospice Inc | Past | Accepting new patients | |
| Ak Care Hospice | Past | 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.
-
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1316293558
-
- Geriatric Medicine (Internal Medicine) Physician
- Sacramento, CA
- NPI 1710857933
-
- Community Based Hospice Care Agency
- Burbank, CA
- NPI 1952911703
-
- Community Based Hospice Care Agency
- Montrose, CA
- NPI 1780291435
-
- Hospitalist Physician
- Margate, FL
- NPI 1457516114
-
- Pediatric Occupational Therapist
- Phoenix, AZ
- NPI 1497087621
-
- Emergency Medicine Physician
- Rockledge, FL
- NPI 1699068908
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Glendale, CA
- NPI 1700476975
-
- Community Based Hospice Care Agency
- Van Nuys, CA
- NPI 1154963932
-
- Home Health Agency
- Van Nuys, CA
- NPI 1588319552
-
- Community Based Hospice Care Agency
- North Hollywood, CA
- NPI 1639733736
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.