Vince Ferhad Afsahi, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A67614 Issued in CA

Practice address

2552 Walnut Ave
Suite 120
Tustin, CA 92780-6935

Phone

(714) 508-0754

Fax

(174) 508-5754

NPI assigned

Aug 11, 2005

Last updated

Mar 7, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Specialty

Dermatology

Education

University of Southern California Keck School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

South Coast Dermatology Institute, a Medical CorporationGroup PAC ID 9931092426, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• South Coast Dermatology Institute, a Medical Corporation

  • Dermatology Physician
  • Tustin, CA
  • NPI 1033241138
  Medicare reassignment Care Compare group NPD Authorized official
• J Robert West, M.D., Inc

  dba Southern California Dermatology

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1932154788
  Medicare reassignment NPD
• Hoag Memorial Hospital Presbyterian

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1518951300
  NPD (past)
• Lorrie J Klein MD Apc

  • Dermatology Physician
  • Laguna Niguel, CA
  • NPI 1083631808
  NPD (past)
• St Jude Hospital Inc

  dba Providence St. Jude Medical Center

  • General Acute Care Hospital
  • Fullerton, CA
  • NPI 1194926279
  NPD (past)

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1700888690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2552 WALNUT AVE",
            "address_2": "SUITE 120",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806935",
            "telephone_number": "714-508-0754",
            "fax_number": "174-508-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2552 WALNUT AVE",
            "address_2": "SUITE 120",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806935",
            "telephone_number": "714-508-0754",
            "fax_number": "174-508-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFSAHI",
        "first_name": "VINCE",
        "middle_name": "FERHAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A67614",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A67614",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH COAST DERMATOLOGY NPI",
            "identifier": "1033241138",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advan Hospice and Palliative Care
• Advance Oc
• Advanced Medical Supplies, Inc.
• Advancement for Behavioral & Educational Development & Intervention (ABEDI, Inc)
• Monisha Dahlia Advani, M.A., LMFT
• Agnelli Chiropractic Inc
• Dustin Livingston Agnelli, D.C.
• Daisy Aguilar
• Evelyn N Aguilar
• Veronica Elisa Aguilar, MD

• Dermatology Physician in Tustin, CA
• Providers in Tustin, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.