Adobe Medical Group Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ADOBE MEDICAL GROUP INC

Practice address

31921 Camino Capistrano
Suite 19
San Juan Capistrano, CA 92675-3210

Phone

(949) 487-2323

Fax

(949) 487-3630

NPI assigned

Aug 31, 2006

Last updated

Nov 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kamran Ghodsian, MDNPI 1942204409

Title

President

Phone

(714) 662-1515

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Kamran Ghodsian, M.D.

  • Specialist
  • Aliso Viejo, CA
  • NPI 1942204409
  Authorized official Same address or phone
• Maryam Rahnemun, M.D.

  • Family Medicine Physician
  • Irvine, CA
  • NPI 1114921673
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1376654756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24502 PACIFIC PARK DR",
            "address_2": "SUITE 105",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563033",
            "telephone_number": "949-362-1515",
            "fax_number": "949-362-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31921 CAMINO CAPISTRANO",
            "address_2": "SUITE 19",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753210",
            "telephone_number": "949-487-2323",
            "fax_number": "949-487-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADOBE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "GHODSIAN",
        "authorized_official_first_name": "KAMRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-662-1515",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "ZZZ257218Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0082570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amelia Kristine Adams, MSN
• Kimberly Adams, LPCC
• Scarlett Marie Adams, RN
• Nikki Adhami
• Kimberley Adler, PHARMD
• Aestheticare Medical Corporation
• Affinity Group, LLC. (Affinity Recovery)
• Gina Renee Aguilar, COTA
• Patricia Ann Ahearn, M.D.
• Michelle Ahumada, O.D.

• Specialist in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.