Active NPI
Ramin P Shirazi III
- Contractor
- Lake Forest, CA
National Provider Identifier
1538701693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- TCP-33502
- Practice address
- 25411 Mina CT
Lake Forest, CA 92630-5311 - Phone
- (949) 929-7281
- NPI assigned
- Oct 10, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | TCP-33502 | Primary |
Addresses
Primary practice location
25411 Mina CT
Lake Forest, CA 92630-5311
Mailing address
25411 Mina CT
Lake Forest, CA 92630-5311
Phone (949) 929-7281
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oc Executive Transportation Inc | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Non-emergency Medical Transport (VAN)
- Lake Forest, CA
- NPI 1104457498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570665600000",
"number": "1538701693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25411 MINA CT",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926305311",
"telephone_number": "949-929-7281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25411 MINA CT",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926305311",
"telephone_number": "949-929-7281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRAZI",
"first_name": "RAMIN",
"middle_name": "P",
"name_prefix": "Mr.",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-10",
"last_updated": "2019-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Contractor",
"state": null,
"license": "TCP-33502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.