Parvin Shafa, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A52745 Issued in CA

Practice address

113 Waterworks Way Ste 100
Irvine, CA 92618-3171

Phone

(949) 551-1113

Fax

(949) 551-1103

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialty

Internal Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Parvin Shafa M D Inc

  • Internal Medicine Physician
  • Irvine, CA
  • NPI 1528181005
  Medicare reassignment Authorized official
• South Coast Global Medical Center, Inc

  • General Acute Care Hospital
  • Santa Ana, CA
  • NPI 1558354258
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303862400000",
    "number": "1447383559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WATERWORKS WAY STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183171",
            "telephone_number": "949-551-1113",
            "fax_number": "949-551-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WATERWORKS WAY STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183171",
            "telephone_number": "949-551-1113",
            "fax_number": "949-551-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFA",
        "first_name": "PARVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2011-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A52745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Aaron Sexton
• Aubree Deme Seybert
• Mir J Shadjareh, D.C.
• Shadow Management Services, Inc.
• Shady Canyon Medical Group
• Samira Shafaee, DDS
• James Thomas Shafer, PH.D.
• Leora Shaffer, MA CCC-SLP
• Mitchell Shaffer, LMFTPH.D.
• Ali Mohammad Shafiee Shams

• Internal Medicine Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.