Individual provider Active NPI

Megan Hormazdi, MSN-FNP

  • Family Nurse Practitioner
  • Tustin, CA
National Provider Identifier
1528566742
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NPF95008240 Issued in CA
Practice address
1095 Irvine Blvd
Tustin, CA 92780-3526
Phone
(714) 505-7110
Fax
(714) 505-7108
NPI assigned
Jan 23, 2018
Last updated
Jul 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NPF95008240 CA Primary

Addresses

Primary practice location

1095 Irvine Blvd
Tustin, CA 92780-3526

Mailing address

1095 Irvine Blvd
Tustin, CA 92780-3526
Phone (714) 505-7110

Other practice location 1

2251 N Harbor Blvd
Fullerton, CA 92835-2601
Phone (714) 669-6230

Other practice location 2

27231 La Paz Rd Ste A
Laguna Niguel, CA 92677-3627
Phone (949) 643-9111

Other practice location 3

2501 E Chapman Ave Ste 101
Orange, CA 92869-3204
Phone (714) 628-3300

Other practice location 4

2212 E 4th St
Santa Ana, CA 92705-3870
Phone (714) 571-7700

Other identifiers 1

IdentifierTypeStateIssuer
NPF95008240OtherCAFNP

Other names 1

  • Mojgan Hoormazdi Mobarakeh Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mhormazdi874744@oc.providencedirect.org
Direct Messaging Address mhormazdi874744@oc.providencedirect.org

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180808003577 CA Practitioner - Nurse Practitioner 6608124557 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
UC RegentsGroup PAC ID 7416869516, 316 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7002

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NPF95008240CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
UC Regents CurrentSince Oct 1, 2023 Accepting new patients
Your Integrative Health PC Family CurrentSince Apr 19, 2025 Accepting new patients
UC Regents CurrentSince Oct 1, 2023 Accepting new patients
UC Regents Current Accepting new patients
University of California Irvine Past Accepting new patients
University of California Irvine Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients

Locations

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

1095 Irvine Blvd
Tustin, CA 92780
Phone (714) 505-7110

Interoperability endpoints

  • Direct secure messaging: mhormazdi874744@oc.providencedirect.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1528566742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 IRVINE BLVD",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803526",
            "telephone_number": "714-505-7110",
            "fax_number": "714-505-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 IRVINE BLVD",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803526",
            "telephone_number": "714-505-7110",
            "fax_number": "714-505-7108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2251 N Harbor Blvd",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928352601",
            "country_code": "US",
            "telephone_number": "714-669-6230",
            "fax_number": "714-449-1773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27231 La Paz Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Laguna Niguel",
            "state": "CA",
            "postal_code": "926773627",
            "country_code": "US",
            "telephone_number": "949-643-9111",
            "fax_number": "949-643-8916",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 E Chapman Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928693204",
            "country_code": "US",
            "telephone_number": "714-628-3300",
            "fax_number": "714-633-0519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2212 E 4th St",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927053870",
            "country_code": "US",
            "telephone_number": "714-571-7700",
            "fax_number": "714-571-7705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORMAZDI",
        "first_name": "MEGAN",
        "credential": "MSN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NPF95008240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP",
            "identifier": "NPF95008240",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhormazdi874744@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "13052 Newport Ave",
            "city": "Tustin",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927803535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhormazdi874744@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2500 E Imperial Hwy",
            "city": "Brea",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928216122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MOJGAN",
            "last_name": "HOORMAZDI MOBARAKEH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.