Active NPI
Mohammad Golshahi, M.D.
- Specialist
- Orange, CA
National Provider Identifier
1437288925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- C43015
- Practice address
- 1500 E Katella Ave
Suite a
Orange, CA 92867-5008 - Phone
- (714) 639-0585
- Fax
- (714) 639-0681
- NPI assigned
- Mar 2, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | C43015 | CA | Primary |
Addresses
Primary practice location
1500 E Katella Ave
Suite a
Orange, CA 92867-5008
Mailing address
1500 E Katella Ave
Suite a
Orange, CA 92867-5008
Phone (714) 639-0585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C43015 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437288925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 E KATELLA AVE",
"address_2": "SUITE A",
"city": "ORANGE",
"state": "CA",
"postal_code": "928675008",
"telephone_number": "714-639-0585",
"fax_number": "714-639-0681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E KATELLA AVE",
"address_2": "SUITE A",
"city": "ORANGE",
"state": "CA",
"postal_code": "928675008",
"telephone_number": "714-639-0585",
"fax_number": "714-639-0681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLSHAHI",
"first_name": "MOHAMMAD",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "C43015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.