Individual provider Active NPI

Sima K Soltani, DPM

  • Podiatrist
  • Irvine, CA
National Provider Identifier
1528147105
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4063 Issued in CA
Practice address
4330 Barranca Pkwy Ste 245
Irvine, CA 92604-1704
Phone
(949) 786-7114
Fax
(949) 786-7133
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E4063 CA Primary

Addresses

Primary practice location

4330 Barranca Pkwy Ste 245
Irvine, CA 92604-1704

Mailing address

4330 Barranca Pkwy Ste 245
Irvine, CA 92604-1704
Phone (949) 786-7114

Other identifiers 1

IdentifierTypeStateIssuer
000E40631MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100407000286 CA Practitioner - Podiatry 0648306282 Reassigns benefits to 1 organization
O20100930029343 CA DME Supplier - Physician - Podiatry 3476764945 Practice locations: Irvine, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4330 Barranca Pkwy
Suite 245
Irvine, CA 92604-1704

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue2734
Removal or shaving of skin growth4171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4063CAMDPodiatrist
4063CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dariush Javanshir MD Inc Past Accepting new patients
Anaheim Global Medical Center, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: babakheravi.simasoltanti@130714.advancedmd-direct.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1528147105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 BARRANCA PKWY STE 245",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926041704",
            "telephone_number": "949-786-7114",
            "fax_number": "949-786-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 BARRANCA PKWY STE 245",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926041704",
            "telephone_number": "949-786-7114",
            "fax_number": "949-786-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLTANI",
        "first_name": "SIMA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E40631",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.