Individual provider Active NPI

Manuchehr M Darani, M.D.

  • Gastroenterology Physician
  • Santa Ana, CA
National Provider Identifier
1588766455
Registry record updated Dec 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A29675 Issued in CA
Practice address
3620 S Bristol St
Suite 101
Santa Ana, CA 92704-7300
Phone
(714) 957-2738
Fax
(714) 957-1758
NPI assigned
Sep 2, 2006
Last updated
Dec 21, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A29675 CA Primary

Addresses

Primary practice location

3620 S Bristol St
Suite 101
Santa Ana, CA 92704-7300

Mailing address

PO Box 11593
Newport Beach, CA 92658-5035
Phone (714) 957-2738

Other names 1

  • Dr. Manuchehr M Darani Professional name

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29675CAMDGeneral Practice Dentistry
A29675CAMDGastroenterology Physician

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356048000000",
    "number": "1588766455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11593",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926585035",
            "telephone_number": "714-957-2738",
            "fax_number": "714-957-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 S BRISTOL ST",
            "address_2": "SUITE 101",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047300",
            "telephone_number": "714-957-2738",
            "fax_number": "714-957-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARANI",
        "first_name": "MANUCHEHR",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2012-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A29675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANUCHEHR",
            "last_name": "DARANI",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.