Organization Active NPI

Afshin Zandpour MD - a Professional Medical Corporation

  • Family Medicine Physician
  • Santa Ana, CA
National Provider Identifier
1689084006
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AFSHIN ZANDPOUR MD - A PROFESSIONAL MEDICAL CORPORATION
Practice address
1001 N Tustin Ave # 92705
Santa Ana, CA 92705-3502
Phone
(949) 257-2424
NPI assigned
May 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Authorized official

Name
Afshin Zandpour, MDNPI 1720233976
Title
Ceo
Phone
(949) 257-2424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1001 N Tustin Ave # 92705
Santa Ana, CA 92705-3502

Mailing address

4790 Irvine Blvd Ste 105-143
Irvine, CA 92620-1973
Phone (949) 257-2424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141014000914 CA Part B Supplier - Clinic/Group Practice 2860613957 Receives reassigned benefits from 1 practitioner
Practice locations: Tustin, CA; Santa Ana, CA; Huntington Beach, CA; Garden Grove, CA; Anaheim, CA; Orange, CA

National Provider Directory

National Provider Directory

Locations

4790 Irvine Blvd
Ste 105143
Irvine, CA 92620

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1689084006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4790 IRVINE BLVD STE 105-143",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926201973",
            "telephone_number": "949-257-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N TUSTIN AVE # 92705",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053502",
            "telephone_number": "949-257-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFSHIN ZANDPOUR MD - A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "ZANDPOUR",
        "authorized_official_first_name": "AFSHIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-257-2424",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.