Individual provider Active NPI

Neyssan Tebyani, M.D.

  • Specialist
  • Laguna Hills, CA
National Provider Identifier
1740245265
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A62271 Issued in CA
Practice address
25200 La Paz Rd
Suite 200
Laguna Hills, CA 92653-5110
Phone
(949) 855-1101
Fax
(949) 855-8710
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A62271 CA Primary

Addresses

Primary practice location

25200 La Paz Rd
Suite 200
Laguna Hills, CA 92653-5110

Mailing address

25200 La Paz Rd
Suite 200
Laguna Hills, CA 92653-5110
Phone (949) 215-9516

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041019001102 CA Practitioner - Urology 6608842430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of California, Geffen School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orange County Urology Associates Inc a Medical GroupGroup PAC ID 6002713146, 18 clinicians

Practice addresses (Care Compare)

10110 Adams Ave
Huntington Beach, CA 92646-4907
Phone (949) 855-1101

16305 Sand Canyon Ave
Suite 200
Irvine, CA 92618-3783
Phone (949) 855-1101

23961 Calle de la Magdalena
Suite 500
Laguna Hills, CA 92653-7622
Phone (949) 855-1101

26691 Plaza
Suite 120
Mission Viejo, CA 92691-6347
Phone (949) 855-1101

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • 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
92.39 of 100Reported as group
Quality
84.79
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A62271CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Urology Associates, Inc. a Medical Group Specialist CurrentSince May 10, 2005 Accepting new patients

Locations

10110 Adams Ave
Huntington Beach, CA 92646
Phone (714) 963-4559

16305 Sand Canyon Ave
Ste 200
Irvine, CA 92618

23961 Calle de la Magdalena
Ste 500
Laguna Hills, CA 92653
Phone (760) 637-2500

25200 La Paz Rd
Ste 200
Laguna Hills, CA 92653
Phone (760) 637-2500

26800 Crown Valley Pkwy
Ste 340
Mission Viejo, CA 92691
Phone (949) 889-2020

26732 Crown Valley Pkwy
Ste 321
Mission Viejo, CA 92691
Phone (714) 365-8000

26691 Plaza
Ste 120
Mission Viejo, CA 92691
Phone (714) 712-9500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: neyssantebyani@ocua.medalliesdirect.net

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1740245265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25200 LA PAZ RD",
            "address_2": "SUITE 200",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535110",
            "telephone_number": "949-215-9516",
            "fax_number": "949-215-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25200 LA PAZ RD",
            "address_2": "SUITE 200",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535110",
            "telephone_number": "949-855-1101",
            "fax_number": "949-855-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEBYANI",
        "first_name": "NEYSSAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A62271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.