Babak Pezeshki, M.D., a Professional Corporation

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

BABAK PEZESHKI, M.D., A PROFESSIONAL CORPORATION

Practice address

520 Superior Ave
Suite 280
Newport Beach, CA 92663-3637

Phone

(949) 645-2800

Fax

(949) 645-2810

NPI assigned

Feb 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Babak Pezeshki, M.D.NPI 1245269802

Title

President

Phone

(949) 645-2800

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Babak Pezeshki, M.D.

  • Interventional Cardiology Physician
  • Newport Beach, CA
  • NPI 1245269802
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1487822326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVE",
            "address_2": "SUITE 280",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633637",
            "telephone_number": "949-645-2800",
            "fax_number": "949-645-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SUPERIOR AVE",
            "address_2": "SUITE 280",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633637",
            "telephone_number": "949-645-2800",
            "fax_number": "949-645-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BABAK PEZESHKI, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "PEZESHKI",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-645-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Babak N. Rad, M.D., Inc.
• Vivek Babaria, D.O.
• Maxine Kay Babazadeh, M.P.T
• Ganna Babenko
• Katia Babitzke
• Nicholas M. Bacher, MD

• Interventional Cardiology Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Interventional Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.