Individual provider Active NPI

Nahid Birjandi, DPM

  • Podiatrist
  • Mission Viejo, CA
National Provider Identifier
1508932120
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3841 Issued in CA
Practice address
27871 Medical Center Rd
Suite 130
Mission Viejo, CA 92691
Phone
(949) 365-1700
Fax
(949) 365-0208
NPI assigned
Nov 27, 2006
Last updated
Nov 11, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E3841 CA Primary

Addresses

Primary practice location

27871 Medical Center Rd
Suite 130
Mission Viejo, CA 92691

Mailing address

27871 Medical Center Rd
Suite 130
Mission Viejo, CA 92691
Phone (949) 365-1700

Other identifiers 3

IdentifierTypeStateIssuer
000E38411MedicaidCA
1093037061OtherCATYPE 2 NPI
DB984ZOtherCAMEDICARE PTAN

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100603000261 CA Practitioner - Podiatry 8022147834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27871 Medical Ctr Rd
Suite 130
Mission Viejo, CA 92691-6334
Phone (949) 365-1700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue161
Removal or shaving of skin growth104
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3841CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Omar Krad MD, Inc CurrentSince Aug 1, 2019 Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
University of California Irvine Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

27871 Medical Center Rd
Ste 130
Mission Viejo, CA 92691
Phone (833) 393-6220

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289433600000",
    "number": "1508932120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27871 MEDICAL CENTER RD",
            "address_2": "SUITE 130",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "949-365-1700",
            "fax_number": "949-365-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27871 MEDICAL CENTER RD",
            "address_2": "SUITE 130",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "949-365-1700",
            "fax_number": "949-365-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRJANDI",
        "first_name": "NAHID",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2010-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E38411",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 NPI",
            "identifier": "1093037061",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DB984Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.