Active NPI
Amirhossein Misaghi, M.D.
- Pediatric Orthopaedic Surgery Physician
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- A122776
- Practice address
- 1310 W Stewart Dr Ste 508
Orange, CA 92868-3856 - Phone
- (714) 633-2111
- NPI assigned
- Jun 23, 2011
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 63815 | MN | |
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | MT212625 | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | A122776 | CA | Primary |
Addresses
Primary practice location
1310 W Stewart Dr Ste 508
Orange, CA 92868-3856
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Other practice location 1
3401 Civic Center Blvd
Division of Orthopaedic Surgery
Philadelphia, PA 19104
Phone (619) 534-6222
Other practice location 2
200 1st St SW
Rochester, MN 55905
Phone (507) 284-2511
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63815 | MN | MD | Orthopaedic Surgery Physician |
| A122776 | CA | MD | Pediatric Orthopaedic Surgery Physician |
| MT212625 | PA | MD | Pediatric Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adult and Pediatric Orthopaedic Specialists a Medical Group Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
25982 Pala
Ste 230
Mission Viejo, CA 92691
Phone (949) 582-0125
1310 W Stewart Dr
Ste 508
Orange, CA 92868
Phone (714) 633-2111
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- amirhossein.misaghi.4@9485.direct.athenahealth.com
- amirhossein.misaghi.1@9485.direct.athenahealth.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.
-
- Specialist
- Orange, CA
- NPI 1902831514
Orthopaedic Surgery
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557187200000",
"number": "1346536703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050001",
"telephone_number": "507-284-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 W STEWART DR STE 508",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683856",
"telephone_number": "714-633-2111"
}
],
"practiceLocations": [
{
"address_1": "3401 Civic Center Blvd",
"address_2": "Division of Orthopaedic Surgery",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "19104",
"country_code": "US",
"telephone_number": "619-534-6222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 1st St SW",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "55905",
"country_code": "US",
"telephone_number": "507-284-2511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MISAGHI",
"first_name": "AMIRHOSSEIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-23",
"last_updated": "2019-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MN",
"license": "63815",
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "PA",
"license": "MT212625",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "CA",
"license": "A122776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.