Shahla Abedi M D a Professional Corporation

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A79258 Issued in CA

Legal business name

SHAHLA ABEDI M D A PROFESSIONAL CORPORATION

Practice address

15 Mareblu
Suite 260
Aliso Viejo, CA 92656

Phone

(949) 831-4144

Fax

(949) 831-6145

NPI assigned

Oct 6, 2006

Last updated

Nov 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shahla Abedi, MDNPI 1467431072

Title

Physician Owner

Phone

(949) 831-4144

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Parastou Abedi, MD

  • Ophthalmology Physician
  • Aliso Viejo, CA
  • NPI 1720067333
  Medicare reassignment Care Compare group NPD
• Shahla Abedi, MD

  • Ophthalmology Physician
  • Aliso Viejo, CA
  • NPI 1467431072
  Medicare reassignment NPD Authorized official
• Sheri L Rowen, MD

  • Ophthalmology Physician
  • Newport Beach, CA
  • NPI 1548203904
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1760579379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MAREBLU",
            "address_2": "SUITE 260",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "92656",
            "telephone_number": "949-831-4144",
            "fax_number": "949-831-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MAREBLU",
            "address_2": "SUITE 260",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "92656",
            "telephone_number": "949-831-4144",
            "fax_number": "949-831-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHLA ABEDI M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "ABEDI",
        "authorized_official_first_name": "SHAHLA",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "949-831-4144",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A30819",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A79258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A308190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sentinel Palliative Medicine (Premier Palliative Medicine)
• Hee Seon Seo
• Shannon Marie Setter, NURSE PRACTITIONER
• Shane Seymour, OD
• George Kevork Shahinian, M.D.
• Shahzadi Dental, a Professional Corporation (Aliso Niguel Dental Group)
• Farhang Shahzadi, DDS
• Sadaf Shalchian Pourkhaljan, LMFT
• Smriti Shamapant, DACM, LAC, DIPL. OM
• Azadeh Shams

• Ophthalmology Physician in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.