NPIMap

Individual provider Active NPI

Haleh Safavi

  • Internal Medicine Physician
  • Orange, CA
National Provider Identifier
1427210764
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A101475 Issued in CA
Practice address
1010 W la Veta Ave
610
Orange, CA 92868-4300
Phone
(714) 285-2311
NPI assigned
Jun 27, 2008
Last updated
Jan 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A101475 CA Primary

Addresses

Primary practice location

1010 W la Veta Ave
610
Orange, CA 92868-4300

Mailing address

1010 W la Veta Ave
610
Orange, CA 92868-4300
Phone (714) 285-2311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101112000560 CA Practitioner - Internal Medicine 6002001237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Alex Zand MD a Professional CorporationGroup PAC ID 7719079144, 10 clinicians

Practice addresses (Care Compare)

1010 W la Veta Ave
Suite 610
Orange, CA 92868-4306
Phone (714) 285-2311

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.45 of 100Reported as group
Quality
85.74
Promoting interoperability
100
Improvement activities
40
Cost
66.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A101475CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alex Zand, MD a Professional Corporation Internal Medicine CurrentSince Aug 3, 2010 Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
St. Joseph Hospital Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients

Locations

1010 W La Veta Ave
Ste 610
Orange, CA 92868
Phone (714) 285-2311

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1427210764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W LA VETA AVE",
            "address_2": "610",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684300",
            "telephone_number": "714-285-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W LA VETA AVE",
            "address_2": "610",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684300",
            "telephone_number": "714-285-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFAVI",
        "first_name": "HALEH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A101475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.