Homa Shoghian-Shabanpour, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A80009 Issued in CA

Practice address

1329 W Warner Ave
Santa Ana, CA 92704-5118

Phone

(714) 444-0044

NPI assigned

Feb 15, 2007

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Ava Medical Corporation

  • Primary Care Clinic/Center
  • Santa Ana, CA
  • NPI 1689846503

  Family Medicine

  NPD (past) Authorized official
• South Coast Global Medical Center, Inc

  • General Acute Care Hospital
  • Santa Ana, CA
  • NPI 1558354258
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1487797502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 W WARNER AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045118",
            "telephone_number": "714-444-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 W WARNER AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045118",
            "telephone_number": "714-444-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOGHIAN-SHABANPOUR",
        "first_name": "HOMA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A80009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A800090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arshia Shirzadi, D.O.
• Reyna Shisbey
• Melissa Shively, CADCII
• Rebecca Shoda-Meyer, PSYD
• Jan Shoda, RN, PHN
• Leslie Keith Shokes, MD
• Fariba Shokoohy, M.D.
• James Shon, L.AC.
• Stacey Marie Shoop, M.D.
• Arlene H Shorey, RN

• Family Medicine Physician in Santa Ana, CA
• Providers in Santa Ana, 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 Mar 31, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.