Sara Shokouhi, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A84540 Issued in CA

Practice address

675 Camino de Los Mares Ste 280
San Clemente, CA 92673-2836

Phone

(949) 661-4411

Fax

(949) 661-5511

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Family Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Farrokh Alemzadeh M D IncGroup PAC ID 9234112392, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorialcare Saddleback Medical Center Hospital, Laguna Hills, CA, CCN 050603
• Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
• Providence Mission Hospital Hospital, Mission Viejo, CA, CCN 050567

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Farrokh Alemzadeh M D Inc

  • Internal Medicine Physician
  • San Clemente, CA
  • NPI 1871529297
  Medicare reassignment Care Compare group
• Saddleback Memorial Medical Center

  • Rehabilitation Hospital Unit
  • Laguna Hills, CA
  • NPI 1114967114
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hoag Memorial Hospital Presbyterian

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1518951300
  Care Compare affiliation
• Mission Hospital Regional Medical Center

  • General Acute Care Hospital
  • Mission Viejo, CA
  • NPI 1912108002
  Care Compare affiliation
• Mission Hospital Regional Medical Center

  • General Acute Care Hospital
  • Mission Viejo, CA
  • NPI 1992752315
  Care Compare affiliation
• Saddleback Memorial Medical Center

  • General Acute Care Hospital
  • Laguna Hills, CA
  • NPI 1275576381
  Care Compare affiliation

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1487735726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 CAMINO DE LOS MARES STE 280",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732836",
            "telephone_number": "949-661-4411",
            "fax_number": "949-661-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 CAMINO DE LOS MARES STE 280",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732836",
            "telephone_number": "949-661-4411",
            "fax_number": "949-661-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOKOUHI",
        "first_name": "SARA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A84540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A84540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley C Shapero, DC
• Lauren Civiello Shearer, CCC SLP
• Aravinda Kumar Shetty
• Dalton Shevlin
• Cynthia Shoga, D.C
• Carolyn Dawn Shook, MFT
• Shore Light Behavioral Health LLC
• Shore Light Behavioral Health LLC
• Shorecliffs Medical Group Inc
• Shreya Health of California

• Family Medicine Physician in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.