Rokhsareh Tajrishi Inc.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

A133047 Issued in CA

Legal business name

ROKHSAREH TAJRISHI INC.

Practice address

3334 E Coast Hwy
Suite 570
Corona del Mar, CA 92625-2328

Phone

(714) 903-7767

Fax

(714) 903-7801

NPI assigned

Mar 2, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Rokhsareh Roxanne Tajrishi, M.D.NPI 1164701819

Title

Owner

Phone

(949) 478-2088

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rokhsareh Roxanne Tajrishi, M.D.

  • Infectious Disease Physician
  • Corona del Mar, CA
  • NPI 1164701819
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1477945228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 E COAST HWY",
            "address_2": "SUITE 570",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252328",
            "telephone_number": "714-903-7767",
            "fax_number": "714-903-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3334 E COAST HWY",
            "address_2": "SUITE 570",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252328",
            "telephone_number": "714-903-7767",
            "fax_number": "714-903-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROKHSAREH TAJRISHI INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "TAJRISHI",
        "authorized_official_first_name": "ROKHSAREH",
        "authorized_official_middle_name": "ROXANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-478-2088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A133047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Infectious Disease Physician in Corona del Mar, CA
• Providers in Corona del Mar, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.