Individual provider Active NPI

Hisham Mohamed Seify, MD

  • Plastic and Reconstructive Surgery Physician
  • Newport Beach, CA
National Provider Identifier
1629163365
Registry record updated Aug 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
A91590 Issued in CA
Practice address
20301 SW Birch St
100
Newport Beach, CA 92660-1754
Phone
(949) 251-1502
Fax
(949) 251-1522
NPI assigned
Oct 4, 2006
Last updated
Aug 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X A91590 CA Primary

Addresses

Primary practice location

20301 SW Birch St
100
Newport Beach, CA 92660-1754

Mailing address

PO Box 80157
Rancho Santa Margarita, CA 92688-0157
Phone (949) 251-1502

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
I20070618000038 CA Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 0840399812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: General Surgery
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20301 SW Birch St
Suite 100
Newport Beach, CA 92660-1754
Phone (949) 251-1502

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A91590CAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sahar Lashin MD, Professional Corporation CurrentSince May 10, 2020 Accepting new patients
Genesis Ambulatory Surgery Center Inc PastSince Sep 23, 2013 Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
South Coast Global Medical Center, Inc Past Accepting new patients

Locations

20301 SW Birch St
Ste 100
Newport Beach, CA 92660
Phone (949) 251-1502

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691884800000",
    "number": "1629163365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80157",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926880157",
            "telephone_number": "949-251-1502",
            "fax_number": "949-251-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20301 SW BIRCH ST",
            "address_2": "100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601754",
            "telephone_number": "949-251-1502",
            "fax_number": "949-251-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIFY",
        "first_name": "HISHAM",
        "middle_name": "MOHAMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-08-13",
        "certification_date": "2023-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A91590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.