Active NPI
Esfandiar Jason Sabet-Peyman, M.D.
- Ophthalmology Physician
- Fullerton, CA
National Provider Identifier
1356664429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A109912
- Practice address
- 301 W Bastanchury Rd Ste 190
Fullerton, CA 92835-3429 - Phone
- (714) 449-1940
- Fax
- (714) 449-1988
- NPI assigned
- Mar 3, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
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.
-
- Ocularist
- Woodland Hills, CA
- NPI 1053775502
-
- General Acute Care Hospital
- Anaheim, CA
- NPI 1295782381
-
- General Acute Care Hospital
- Stockton, CA
- NPI 1538163886
-
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Durham, NC
- NPI 1821094509
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Johns Hopkins University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1431 N Harbor Blvd
Fullerton, CA 92835-4105
Phone (714) 449-1940
Hospital & facility affiliations
- Providence St. Jude Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140731002532 | CA | Practitioner - Ophthalmology | 1052569613 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A109912 | CA | MD | Ophthalmology Physician |
Practice roles (5 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke University Health System, Inc. | Past | Accepting new patients | |
| Dameron Hospital Association | Past | Accepting new patients | |
| Advanced Artificial Eyes | Past | Accepting new patients | |
| Anaheim Memorial Medical Center | Past | Accepting new patients | |
| St Jude Hospital Inc | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 2012-01121 | NC | |
| Ophthalmology Physician | 207W00000X | A109912 | CA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
301 W Bastanchury Rd Ste 190
Fullerton, CA 92835-3429
Mailing address
301 W Bastanchury Rd Ste 190
Fullerton, CA 92835-3429
Phone (714) 449-1940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 19, 2024.
{
"created_epoch": "1267574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705622400000",
"number": "1356664429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 W BASTANCHURY RD STE 190",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353429",
"telephone_number": "714-449-1940",
"fax_number": "714-449-1988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W BASTANCHURY RD STE 190",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353429",
"telephone_number": "714-449-1940",
"fax_number": "714-449-1988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABET-PEYMAN",
"first_name": "ESFANDIAR",
"middle_name": "JASON",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-03",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NC",
"license": "2012-01121",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "A109912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.
- 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.