Afagh Khorashadi, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A62101 Issued in CA

Practice address

114 Pacifica Ste 340
Irvine, CA 92618-3329

Phone

(949) 390-9010

NPI assigned

Apr 21, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

State licenses

Practice roles

Locations

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.

• Afagh Khorashadi,M.D. a Medical Corporation

  • Pediatrics Physician
  • Irvine, CA
  • NPI 1316042534
  NPD Authorized official
• Children's Hospital of Orange County

  dba Rady Children's Hospital Orange County

  • Children's Hospital
  • Orange, CA
  • NPI 1811080526
  NPD (past)
• Coastal Kids, a Professional Medical Corporation

  dba Coastal Kids

  • Pediatrics Physician
  • Newport Beach, CA
  • NPI 1740311737
  NPD (past)
• Hoag Memorial Hospital Presbyterian

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1518951300
  NPD (past)
• Mission Hospital Regional Medical Center

  dba Providence Mission Hospital

  • Rehabilitation Hospital
  • Mission Viejo, CA
  • NPI 1003956913
  NPD (past)

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1508000530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24422 AVENIDA DE LA CARLOTA STE 300",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533628",
            "telephone_number": "949-599-2423",
            "fax_number": "949-599-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 PACIFICA STE 340",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183329",
            "telephone_number": "949-390-9010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Odyssey Ste 230",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926187700",
            "country_code": "US",
            "telephone_number": "949-474-4567",
            "fax_number": "949-474-4277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHORASHADI",
        "first_name": "AFAGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-21",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "00A621010",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A62101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mehrdad Khodadoostan, MD
• Neda Courtney Khodai, DDS
• Reza Khodaverdian, M.D.
• Elani Kietheang Khoe
• Niloufar Khorasanifar
• Kiana Khoshnevis
• Amanda Khosravi, M.D.
• Ali Khosrovani
• Negin Khosrvvani
• Joseph Khutsishvili

• Pediatrics Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.