Individual provider Active NPI

Pejman Raeisi-Giglou, DO

  • Cardiovascular Disease Physician
  • Orange, CA
National Provider Identifier
1689011074
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
20A18693 Issued in CA
Practice address
681 S Parker St Ste 100
Orange, CA 92868-4719
Phone
(877) 430-7337
NPI assigned
May 27, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 20A18693 CA Primary

Addresses

Primary practice location

681 S Parker St Ste 100
Orange, CA 92868-4719

Mailing address

3080 Bristol St Ste 150
Costa Mesa, CA 92626-3068
Phone (877) 430-7337

Other practice location 1

Cleveland Clinic Foundation
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160816000920 OH Practitioner - HospitalistPractitioner - Internal Medicine 3476847336 Reassigns benefits to 1 organization
I20230314000696 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear Medicine 3476847336 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Nuclear Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Medical Imaging Healthcare IncGroup PAC ID 0143311241, 59 clinicians
Pacific Cardiovascular Associates Medical Group, Inc.Group PAC ID 3678461209, 23 clinicians

Practice addresses (Care Compare)

1127 Wilshire Blvd
Suite 100
Los Angeles, CA 90017-3902
Phone (213) 202-5785

24022 Calle de la Plata
Suite 500
Laguna Hills, CA 92653-7612
Phone (714) 445-0220

Hospital & facility affiliations

  • Memorialcare Saddleback Medical Center Hospital, Laguna Hills, CA, CCN 050603
  • Providence Mission Hospital Hospital, Mission Viejo, CA, CCN 050567

Merit-based Incentive Payment System (MIPS)

Final score
83.2 of 100Reported as group
Quality
53.01
Promoting interoperability
87
Improvement activities
40
Cost
75.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A18693CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Imaging Healthcare, Inc. Multi-Specialty Current Accepting new patients
Pacific Cardiovascular Associates Medical Group, Inc. Multi-Specialty CurrentSince Mar 8, 2023 Accepting new patients
United Medical Imaging Healthcare, Inc. CurrentSince Nov 14, 2023 Accepting new patients
The Metrohealth System Multi-Specialty CurrentSince Mar 11, 2020 Accepting new patients
The Metrohealth System CurrentSince Mar 11, 2020 Accepting new patients
United Medical Imaging Healthcare, Inc. CurrentSince Nov 14, 2023 Accepting new patients
Hoag Memorial Hospital Presbyterian Multi-Specialty Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
Cleveland Clinic Health System - East Region Multi-Specialty Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
Cleveland Clinic Avon Hospital Multi-Specialty Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
Fairview Hospital Multi-Specialty Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients

Locations (25 of 30)

1801 W Romneya Dr
Ste 104
Anaheim, CA 92801
Phone (714) 678-4000

10230 Artesia Blvd
Ste 100
Bellflower, CA 90706
Phone (562) 461-2585

380 W Central Ave
Ste 210
Brea, CA 92821
Phone (714) 482-2121

6131 Orangethorpe Ave
Ste 130
Buena Park, CA 90620
Phone (714) 522-2077

3070 Bristol St
Ste 190
Costa Mesa, CA 92626
Phone (714) 445-0228

3080 Bristol St
Ste 600
Costa Mesa, CA 92626
Phone 7144450228 ext. 8262

3080 Bristol St
Ste 150
Costa Mesa, CA 92626
Phone (714) 389-1846

11411 Brookshire Ave
Ste 101
Downey, CA 90241
Phone (562) 869-9192

11160 Warner Ave
Ste 105
Fountain Vly, CA 92708
Phone (714) 619-7500

11180 Warner Ave
Ste 269
Fountain Vly, CA 92708
Phone (714) 486-1228

12665 Garden Grove Blvd
Ste 103
Garden Grove, CA 92843
Phone (714) 620-8200

1141 W Redondo Beach Blvd
Ste 105
Gardena, CA 90247
Phone (310) 436-1730

624 S Central Ave
Glendale, CA 91204
Phone (818) 241-3369

16161 Gothard St
Ste C
Huntington Beach, CA 92647
Phone (714) 843-6255

110 S La Brea Ave
Ste 150
Inglewood, CA 90301
Phone (310) 671-6000

15825 Laguna Canyon Rd
Ste 101
Irvine, CA 92618
Phone (949) 777-9000

5581 Alton Pkwy
Irvine, CA 92618
Phone (949) 222-9158

24022 Calle de la Plata
Ste 500
Laguna Hills, CA 92653
Phone (877) 430-7337

701 E 28th St
Ste 318
Long Beach, CA 90806
Phone (562) 290-8888

3513 Whittier Blvd
Los Angeles, CA 90023
Phone (323) 262-1814

1127 Wilshire Blvd
Ste 100
Los Angeles, CA 90017
Phone (213) 202-5785

4916 Whittier Blvd
Los Angeles, CA 90022
Phone (213) 596-8100

2080 Century Park E
Ste 104
Los Angeles, CA 90067
Phone (310) 432-8000

3737 Martin Luther King Jr Blvd
Ste 104
Lynwood, CA 90262
Phone (310) 667-4999

26522 La Alameda
Ste 170
Mission Viejo, CA 92691
Phone (949) 535-2100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: praeisigiglou801985@direct.memorialcare.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: pejman.raeisigiglou.p13@direct.pca.nextgenshare.com

Organizations & group practices 37

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.

View all 37

Hospital & facility affiliations 3

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": "1369612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1689011074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 BRISTOL ST STE 150",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263068",
            "telephone_number": "877-430-7337",
            "fax_number": "714-445-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 S PARKER ST STE 100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684719",
            "telephone_number": "877-430-7337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Cleveland Clinic Foundation",
            "address_2": "9500 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441950001",
            "country_code": "US",
            "telephone_number": "216-444-2200",
            "fax_number": "216-445-6290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAEISI-GIGLOU",
        "first_name": "PEJMAN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-27",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "20A18693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.