Individual provider Active NPI

Sepideh Zahedy-Kapusta, M.D

  • Obstetrics Physician
  • La Habra, CA
National Provider Identifier
1841495538
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
A99099 Issued in CA
Practice address
2094 W la Habra Blvd
La Habra, CA 90631-5007
Phone
(562) 697-1001
Fax
(562) 697-1002
NPI assigned
Jun 20, 2007
Last updated
Dec 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A99099 CA
Gynecology Physician 207VG0400X A99099 CA
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician 207VH0002X A99099 CA
Gynecologic Oncology Physician 207VX0201X A99099 CA
Maternal & Fetal Medicine Physician 207VM0101X A99099 CA
Obstetrics Physician 207VX0000X A99099 CA Primary

Addresses

Primary practice location

2094 W la Habra Blvd
La Habra, CA 90631-5007

Mailing address

17125 Sweetbay CT..
Yorba Linda, CA 92886-0000
Phone (714) 369-8659

Other identifiers 2

IdentifierTypeStateIssuer
A99099OtherCAMEDICAL LICENSE
0589954-7OtherCAEFMG

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
I20071025000683 CA Practitioner - Obstetrics/Gynecology 7315034139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2094 W la Habra Blvd
La Habra, CA 90631-5007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A99099CAMDHospice and Palliative Medicine (Obstetrics & Gynecology) Physician
99099CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sepideh Zahedy- Kapusta,MD,Inc. Internal Medicine CurrentSince Jul 7, 2010 Accepting new patients
Lucile Salter Packard Children's Hospital at Stanford PastSince Jan 2, 2022 Accepting new patients

Locations

2094 W La Habra Blvd
La Habra, CA 90631
Phone (562) 302-1829

12464 Washington Blvd
Whittier, CA 90602
Phone (562) 464-2506

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1841495538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17125 SWEETBAY CT..",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928860000",
            "telephone_number": "714-369-8659",
            "fax_number": "714-534-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2094 W LA HABRA BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315007",
            "telephone_number": "562-697-1001",
            "fax_number": "562-697-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAHEDY-KAPUSTA",
        "first_name": "SEPIDEH",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A99099",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "A99099",
            "primary": false
        },
        {
            "code": "207VH0002X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "A99099",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "CA",
            "license": "A99099",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "A99099",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "A99099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A99099",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EFMG",
            "identifier": "0589954-7",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

Verify at the official NPI Registry.