Organization Active NPI

Avid Medical

  • Internal Medicine Physician
  • Santa Ana, CA
National Provider Identifier
1457829558
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AVID MEDICAL
Doing business as
Avid Medical
Practice address
1220 Hemlock Way Ste 205
Santa Ana, CA 92707-3655
Phone
(714) 884-4855
Fax
(714) 834-1076
NPI assigned
Nov 6, 2018
Last updated
Jun 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Authorized official

Name
Dr. Pelma TabriziNPI 1568497998
Title
Doctor
Phone
(714) 884-4855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

1220 Hemlock Way Ste 205
Santa Ana, CA 92707-3655

Mailing address

1220 Hemlock Way Ste 205
Santa Ana, CA 92707-3655
Phone (714) 884-4855

Other names 1

  • Avid Medical Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1457829558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 HEMLOCK WAY STE 205",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927073655",
            "telephone_number": "714-884-4855",
            "fax_number": "714-834-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 HEMLOCK WAY STE 205",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927073655",
            "telephone_number": "714-884-4855",
            "fax_number": "714-834-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVID MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-06",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "TABRIZI",
        "authorized_official_first_name": "PELMA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "714-884-4855",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avid Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.