Hessam S. Eftekhari, D.O.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

20A9311 Issued in CA

Practice address

31371 Rancho Viejo Rd Ste 104
San Juan Capistrano, CA 92675-1848

Phone

(949) 565-0444

Fax

(949) 565-0446

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: heftekhari733391@direct.llu.edu

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.

• Allied Anesthesia Medical Group Inc

  • Anesthesiology Physician
  • Orange, CA
  • NPI 1346267267
  Medicare reassignment NPD
• Cep America - Anesthesia, PC

  • Anesthesiology Physician
  • Walnut Creek, CA
  • NPI 1790401438
  Medicare reassignment NPD
• City of Hope Medical Foundation

  • Hematology & Oncology Physician
  • Duarte, CA
  • NPI 1871886366

  Anesthesiology

  Medicare reassignment NPD
• Sound Physicians Anesthesiology of California PC

  • Anesthesiology Physician
  • Murrieta, CA
  • NPI 1699408229
  Medicare reassignment NPD
• Nu Life Medical Group

  • General Practice Physician
  • San Juan Capistrano, CA
  • NPI 1891176350

  Addiction Medicine

  NPD (past) Authorized official
• Cep America - Anesthesia PC

  • Anesthesiology Physician
  • San Jose, CA
  • NPI 1689192833
  NPD
• Cep America - Anesthesia PC

  • Anesthesiology Physician
  • Langhorne, PA
  • NPI 1093678229
  NPD
• Cep America - Anesthesia PC

  • Anesthesiology Physician
  • Fremont, CA
  • NPI 1982009759
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1649280272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31371 RANCHO VIEJO RD STE 104",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751848",
            "telephone_number": "949-565-0444",
            "fax_number": "949-565-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31371 RANCHO VIEJO RD STE 104",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751848",
            "telephone_number": "949-565-0444",
            "fax_number": "949-565-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFTEKHARI",
        "first_name": "HESSAM",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A9311",
            "primary": false
        },
        {
            "code": "208U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Pharmacology",
            "state": "CA",
            "license": "20A9311",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "CA",
            "license": "20A9311",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "CA",
            "license": "20A9311",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "20A9311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX93110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Du
• Sanjay Dube, MD
• Tessa Durbano, LCSW
• Dva Renal Healthcare Inc
• Joyce Norma Earl, PHD
• Maryam Ekhtiar, D.D.S.
• Justin Abdon Elenes
• Cynthia Zavetz Elliott, RN
• Ramyar Elyassian, DDS
• Emericare Inc

• Pain Medicine (Anesthesiology) Physician in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.