Jamshid Maleki, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A85567 Issued in CA

Practice address

13152 Newport Ave
Suite B
Tustin, CA 92780-3469

Phone

(714) 263-8600

Fax

(714) 263-8601

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10008746

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.

• Imperial Primary Care Medical Group

  • Family Medicine Physician
  • La Mirada, CA
  • NPI 1598893455
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1407879646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18902 VIA MESSINA",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926033408",
            "telephone_number": "949-533-3121",
            "fax_number": "562-902-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13152 NEWPORT AVE",
            "address_2": "SUITE B",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803469",
            "telephone_number": "714-263-8600",
            "fax_number": "714-263-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALEKI",
        "first_name": "JAMSHID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A85567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parvin Mahdad, DENTIST
• Duc Mai, PHARM.D.
• Jasima Y Majeed, RPH
• Marina Elia Makar
• Sanam Makhani, PHARMD
• Princess Roma Resplandor Malilim
• Madelyn Rose Malisani
• Jeffrey Wayne Mallock, DC
• Michelle Nicole Malloy, M.S., MFT
• Matthew Jacob Sinlao Manalo, PTA

• General Practice Physician in Tustin, CA
• Providers in Tustin, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.

Verify at the official NPI Registry.