Organization Active NPI

Angizeh Sadeghi MD Inc

  • Gastroenterology Physician
  • Newport Beach, CA
National Provider Identifier
1770958845
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A90377 Issued in CA
Legal business name
ANGIZEH SADEGHI MD INC
Practice address
17 Corporate Plaza Dr Ste 110
Newport Beach, CA 92660-7925
Phone
(949) 404-4444
Fax
(949) 404-4141
NPI assigned
Dec 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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

Authorized official

Name
Dr. Angizeh Sadeghi, MDNPI 1538211917
Title
President
Phone
(949) 404-4444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X A90377 CA Primary

Addresses

Primary practice location

17 Corporate Plaza Dr Ste 110
Newport Beach, CA 92660-7925

Mailing address

23961 Calle de la Magdalena
Ste 231
Laguna Hills, CA 92653-3616
Phone (949) 609-0500

Other identifiers 1

IdentifierTypeStateIssuer
A90377OtherCAMEDICAL STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160107000783 CA Part B Supplier - Clinic/Group Practice 5193027134 Receives reassigned benefits from 4 practitioners
Practice locations: Newport Beach, CA

National Provider Directory

National Provider Directory

Locations

23961 Calle de la Magdalena
Ste 231
Laguna Hills, CA 92653
Phone (949) 609-0500

17 Corporate Plaza Dr
Ste 110
Newport Beach, CA 92660
Phone (949) 404-4444

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1770958845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23961 CALLE DE LA MAGDALENA",
            "address_2": "STE 231",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533616",
            "telephone_number": "949-609-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 CORPORATE PLAZA DR STE 110",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607925",
            "telephone_number": "949-404-4444",
            "fax_number": "949-404-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGIZEH SADEGHI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "SADEGHI",
        "authorized_official_first_name": "ANGIZEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-404-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A90377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL STATE LICENSE",
            "identifier": "A90377",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.