Active NPI
Seifolah Esfandiari, M.D., F.A.C.O.G.
- Specialist
- Santa Ana, CA
National Provider Identifier
1477608552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- C39653
- Practice address
- 999 N Tustin Ave Ste 111
Santa Ana, CA 92705-6504 - Phone
- (714) 953-1112
- Fax
- (714) 547-5792
- NPI assigned
- Jan 25, 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 | C39653 | CA | Primary |
Addresses
Primary practice location
999 N Tustin Ave Ste 111
Santa Ana, CA 92705-6504
Mailing address
999 N Tustin Ave Ste 111
Santa Ana, CA 92705-6504
Phone (714) 953-1112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C396530 | Medicaid | CA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090415000051 | CA | Practitioner - Obstetrics/Gynecology | 0345397089 | Practice locations: Santa Ana, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1969
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
999 N Tustin Ave
Suite 111
Santa Ana, CA 92705-6501
Phone (714) 953-1112
Hospital & facility affiliations
- Memorialcare Saddleback Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C39653 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph Hospital of Orange | Past | Accepting new patients | |
| Orange County Global Medical Center, Inc | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Santa Ana, CA
- NPI 1982697678
-
- General Acute Care Hospital
- Orange, CA
- NPI 1912982216
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Laguna Hills, CA
- NPI 1275576381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1477608552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 N TUSTIN AVE STE 111",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927056504",
"telephone_number": "714-953-1112",
"fax_number": "714-547-5792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 N TUSTIN AVE STE 111",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927056504",
"telephone_number": "714-953-1112",
"fax_number": "714-547-5792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESFANDIARI",
"first_name": "SEIFOLAH",
"name_prefix": "Dr.",
"credential": "M.D., F.A.C.O.G.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "C39653",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C396530",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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 Sep 14, 2021; 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.