Individual provider Active NPI

Seifolah Esfandiari, M.D., F.A.C.O.G.

  • Specialist
  • Santa Ana, CA
National Provider Identifier
1477608552
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C39653 Issued in CA
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

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00C396530MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Hospital, Laguna Hills, CA, CCN 050603

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C39653CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.