Morteza Mirkarimi

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

A39662 Issued in CA

Legal business name

MORTEZA MIRKARIMI

Doing business as

Clairemont Family Medical Group

Practice address

3058 Clairemont Dr
San Diego, CA 92117-6830

Phone

(619) 275-5570

Fax

(619) 275-2144

NPI assigned

Oct 3, 2007

Organization subpart

No

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

Authorized official

Name

Morteza Mirkarimi

Title

Owner

Phone

(619) 275-5570

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CLAIREMONT FAMILY MEDICAL GROUP Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kamron Mirkarimi, M.D.

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1497914725
  NPD (past)
• Azadeh Yaghmai, D.C.

  • Chiropractor
  • San Diego, CA
  • NPI 1730362179
  NPD (past)

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1679760714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3058 CLAIREMONT DR.",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92117",
            "telephone_number": "619-275-5570",
            "fax_number": "619-275-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3058 CLAIREMONT DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176830",
            "telephone_number": "619-275-5570",
            "fax_number": "619-275-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORTEZA MIRKARIMI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "MIRKARIMI",
        "authorized_official_first_name": "MORTEZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-275-5570"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "A39662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A39662",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLAIREMONT FAMILY MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leonard Edward Morse, CADAC-I
• Robert I. Morse, MD
• James Morson, IDC
• Scarlette Mortellaro
• Lunora Cruz Evangelista Mortenson
• Andrew Mortimer, D.O.
• Daniel Mortimer
• Dori R Mortimer, MD
• Melissa Marie Mortin, MS, APRN, ANP-BC
• Agnes Y Mortison, R.N. P.H.N.

• Health Service Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.