Active NPI
Aisha Memon, MD
- Family Medicine Physician
- Costa Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A139079
- Practice address
- 660 Baker St Ste A101
Costa Mesa, CA 92626-4407 - Phone
- (714) 668-2500
- Fax
- (714) 668-2515
- NPI assigned
- Jul 1, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | A139079 | CA | |
| Family Medicine Physician | 207Q00000X | A139079 | CA | Primary |
Addresses
Primary practice location
660 Baker St Ste A101
Costa Mesa, CA 92626-4407
Mailing address
PO Box 2218
Suisun City, CA 94585-5218
Phone (657) 241-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB281977 | Other | CA | MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aisha.memonmd.p7@direct.nautilus.nextgenshare.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Coastal Family Medicine Inc
Practice addresses (Care Compare)
15333 Culver Dr
Suite 130
Irvine, CA 92604-7134
Phone (949) 570-8824
4950 Barranca Pkwy
Suite 103
Irvine, CA 92604-4630
Phone (949) 552-2700
660 Baker St
Costa Mesa, CA 92626-4407
Hospital & facility affiliations
- Hoag Home Health
- Hoag Memorial Hospital Presbyterian
- Memorialcare Orange Coast Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A139079 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monica Perlman MD Inc. | Family Medicine | Current | Accepting new patients |
| Falck Physicians Group Corporation | Family Medicine | Current | Accepting new patients |
Locations
15333 Culver Dr
Ste 130
Irvine, CA 92604
Phone (949) 570-8824
9850 Genesee Ave
Ste 320
La Jolla, CA 92037
Phone (858) 864-9800
3737 Moraga Ave
Ste B103
San Diego, CA 92117
Phone (858) 799-0855
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- aisha.memonmd.p7@direct.nautilus.nextgenshare.com
Organizations & group practices 2
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.
-
- General Practice Physician
- Orange, CA
- NPI 1932899663
Family Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Newport Beach, CA
- NPI 1174192892
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689897600000",
"number": "1740620046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2218",
"city": "SUISUN CITY",
"state": "CA",
"postal_code": "945855218",
"telephone_number": "657-241-3600",
"fax_number": "657-241-7708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 BAKER ST STE A101",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926264407",
"telephone_number": "714-668-2500",
"fax_number": "714-668-2515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEMON",
"first_name": "AISHA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-01",
"last_updated": "2023-07-21",
"certification_date": "2023-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "CA",
"license": "A139079",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A139079",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "CB281977",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aisha.memonmd.p7@direct.nautilus.nextgenshare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "660 Baker Street Ste A-101",
"city": "Costa Mesa",
"state": "CA",
"country_code": "US",
"postal_code": "926264407",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.