Individual provider Active NPI

Miriam Eshoiee

  • Physician Assistant
  • Newport Beach, CA
National Provider Identifier
1821561622
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
56144 Issued in CA
Practice address
360 San Miguel Dr Ste 309
Newport Beach, CA 92660-7829
Phone
(949) 640-0434
Fax
(949) 640-0277
NPI assigned
Jan 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 56144 CA Primary

Addresses

Primary practice location

360 San Miguel Dr Ste 309
Newport Beach, CA 92660-7829

Mailing address

40 Palatine Apt 404
Irvine, CA 92612-5604
Phone (949) 413-1295

Other practice location 1

11100 Warner Ave Ste 264
Fountain Valley, CA 92708-7512
Phone (714) 549-1770

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190429001696 CA Practitioner - Physician Assistant 5799027462 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Csi Medical GroupGroup PAC ID 5890916845, 104 clinicians

Practice addresses (Care Compare)

11100 Warner Ave
Suite 264
Fountain Valley, CA 92708-7512
Phone (714) 549-1770

1165 N Euclid St
Anaheim, CA 92801-1938
Phone (714) 991-9990

1441 Avocado Ave
Suite 409
Newport Beach, CA 92660-7705
Phone (949) 640-4501

360 San Miguel Dr
Suite 309
Newport Beach, CA 92660-7829
Phone (949) 640-0434

Merit-based Incentive Payment System (MIPS)

Final score
85.34 of 100Reported as group
Quality
90.85
Promoting interoperability
87
Improvement activities
40
Cost
71.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
56144CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
David B. Friedman, MD, Inc Current Accepting new patients

Locations

1165 N Euclid St
Anaheim, CA 92801
Phone (714) 991-9990

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: miriam.eshoiee@schweigerderm.emadirect.md
  • Direct secure messaging: meshoiee@csisouthca.emadirect.md

Organizations & group practices 3

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": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1821561622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PALATINE APT 404",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926125604",
            "telephone_number": "949-413-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR STE 309",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607829",
            "telephone_number": "949-640-0434",
            "fax_number": "949-640-0277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11100 Warner Ave Ste 264",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927087512",
            "country_code": "US",
            "telephone_number": "714-549-1770",
            "fax_number": "714-549-5049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESHOIEE",
        "first_name": "MIRIAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "56144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.