Individual provider Active NPI

Sima Mirhashemi, D.O.

  • Internal Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1740353283
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A7098 Issued in CA
Practice address
1501 Superior Ave Ste 304
Newport Beach, CA 92663-3641
Phone
(949) 551-1234
Fax
(949) 873-2065
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A7098 CA Primary

Addresses

Primary practice location

1501 Superior Ave Ste 304
Newport Beach, CA 92663-3641

Mailing address

1501 Superior Ave Ste 304
Newport Beach, CA 92663-3641
Phone (949) 551-1234

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
I20220713001333 CA Order and Referring Only - Family PracticePractitioner - Family Practice 3375647589

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A7098CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Medical Clinic and Wellness Center,Inc. Internal Medicine Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1740353283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 SUPERIOR AVE STE 304",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633641",
            "telephone_number": "949-551-1234",
            "fax_number": "949-873-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SUPERIOR AVE STE 304",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633641",
            "telephone_number": "949-551-1234",
            "fax_number": "949-873-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRHASHEMI",
        "first_name": "SIMA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A7098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.