Individual provider Active NPI

Afshin Hamidi, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Rancho Santa Margarita, CA
National Provider Identifier
1609222090
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
162227 Issued in CA
Practice address
30511 Avenida de Las Flores # 1064
Rancho Santa Margarita, CA 92688-3941
Phone
(858) 933-5050
Fax
(941) 833-7581
NPI assigned
May 4, 2016
Last updated
Jun 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 162227 CA Primary

Addresses

Primary practice location

30511 Avenida de Las Flores # 1064
Rancho Santa Margarita, CA 92688-3941

Mailing address

30511 Avenida de Las Flores # 1064
Rancho Santa Margarita, CA 92688-3941
Phone (858) 933-5050

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211109002124 CA Practitioner - EndocrinologyPractitioner - Internal Medicine 6709113087 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Quantum Healthcare Medical Associates IncGroup PAC ID 5294647574, 109 clinicians
Clinic Services of California Medical Group IncGroup PAC ID 7810209715, 65 clinicians

Practice addresses (Care Compare)

30281 Golden Lantern
Laguna Niguel, CA 92677-5979
Phone (858) 788-4040

400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
162227CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quantum Healthcare Medical Associates Inc. Internal Medicine CurrentSince Nov 1, 2021 Accepting new patients
Clinic Services of California Medical Group Inc CurrentSince Nov 13, 2021 Accepting new patients
Dr Hamidi Excellent Care a Professional Corporation Endocrinology, Diabetes & Metabolism CurrentSince Jul 1, 2021 Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients

Locations

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400

24451 Health Center Dr
Laguna Hills, CA 92653
Phone (949) 452-3573

30281 Golden Lantern
Laguna Niguel, CA 92677
Phone (858) 788-4040

23710 El Toro Rd
Lake Forest, CA 92630

30511 Avenida de las Flores
Rancho Santa Margarita, CA 92688
Phone (858) 933-5050

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: afshinhamidi@dhecapc-ca.direct.office.nextgen.com
  • Direct secure messaging: ahamidi718502@direct.memorialcare.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

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": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1609222090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30511 AVENIDA DE LAS FLORES # 1064",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883941",
            "telephone_number": "858-933-5050",
            "fax_number": "941-833-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30511 AVENIDA DE LAS FLORES # 1064",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883941",
            "telephone_number": "858-933-5050",
            "fax_number": "941-833-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMIDI",
        "first_name": "AFSHIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-04",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "162227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

Verify at the official NPI Registry.