Shahab Mirzaeian

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

615 W Civic Center Dr Ste 200
Santa Ana, CA 92701-4052

Phone

(714) 361-7950

NPI assigned

Feb 25, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Telecare Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Santa Ana, CA
  • NPI 1801159389
  NPD (past)

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1730549320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W CIVIC CENTER DR STE 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014052",
            "telephone_number": "714-361-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W CIVIC CENTER DR STE 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014052",
            "telephone_number": "714-361-7950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 N Broadway",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927062624",
            "country_code": "US",
            "telephone_number": "714-245-6881",
            "fax_number": "714-245-6891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "814 W Chapman Ave",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "92868",
            "country_code": "US",
            "telephone_number": "714-361-7950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRZAEIAN",
        "first_name": "SHAHAB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-25",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Lisset Miranda, MSW
• Natalia Miranda
• Noel Indefenso Miranda Jr.
• Perla Amaranta Miranda
• Sommer Joy Miranda, LCSW
• Prashna Mistry, O.D.
• Kayla Rachelle Mitchael, RN
• Christopher Mitchell
• Michelle N Mitchell
• Olivia Mitchell

• Mental Health Counselor in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.