Individual provider Active NPI

Aisha Memon, MD

  • Family Medicine Physician
  • Costa Mesa, CA
National Provider Identifier
1740620046
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A139079 Issued in CA
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

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CB281977OtherCAMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170915000491 CA Practitioner - Family PracticePractitioner - Geriatric Medicine 3870889215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monica Perlman MD IncGroup PAC ID 8820035884, 357 clinicians
Coastal Family Medicine IncGroup PAC ID 4587678065, 35 clinicians

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 Home health agency, Newport Beach, CA, CCN 557412
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • Memorialcare Orange Coast Medical Center Hospital, Fountain Valley, CA, CCN 050678

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A139079CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monica Perlman MD Inc. Family Medicine CurrentSince Mar 2, 2026 Accepting new patients
Falck Physicians Group Corporation Family Medicine CurrentSince Dec 1, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.