Organization Active NPI

Afshin Gerayli MD a Professional Corporation

  • Specialist
  • Mission Viejo, CA
National Provider Identifier
1366636045
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G80098 Issued in CA
Legal business name
AFSHIN GERAYLI MD A PROFESSIONAL CORPORATION
Practice address
25982 Pala Ste 280
Mission Viejo, CA 92691-6729
Phone
(949) 297-3838
Fax
(949) 297-3839
NPI assigned
Sep 5, 2007
Last updated
Sep 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
Mrs. Anna Gerayli
Title
Administrator
Phone
(949) 230-5776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G80098 CA Primary

Addresses

Primary practice location

25982 Pala Ste 280
Mission Viejo, CA 92691-6729

Mailing address

25982 Pala Ste 280
Mission Viejo, CA 92691-6729
Phone (949) 297-3838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080111000634 CA Part B Supplier - Clinic/Group Practice 0345321634 Receives reassigned benefits from 2 practitioners
Practice locations: Irvine, CA; Laguna Hills, CA

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1366636045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25982 PALA STE 280",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916729",
            "telephone_number": "949-297-3838",
            "fax_number": "949-297-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25982 PALA STE 280",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916729",
            "telephone_number": "949-297-3838",
            "fax_number": "949-297-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFSHIN GERAYLI MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "GERAYLI",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "949-230-5776",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G80098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.

Verify at the official NPI Registry.