Nu Life Medical Group

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

20A9311 Issued in CA

Legal business name

NU LIFE MEDICAL GROUP

Practice address

31371 Rancho Viejo Rd Ste 104
San Juan Capistrano, CA 92675-1848

Phone

(949) 565-0444

NPI assigned

Jun 10, 2015

Last updated

Oct 13, 2015By 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

Hessam Eftekhari, DONPI 1649280272

Title

Owner

Phone

(619) 957-4726

Specialties & licenses 6

Addresses

Locations

Practitioners 1

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.

• Hessam S. Eftekhari, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • San Juan Capistrano, CA
  • NPI 1649280272

  Addiction Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1891176350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31371 RANCHO VIEJO RD STE 104",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751848",
            "telephone_number": "949-565-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31371 RANCHO VIEJO RD STE 104",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751848",
            "telephone_number": "949-565-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NU LIFE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "EFTEKHARI",
        "authorized_official_first_name": "HESSAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-957-4726",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "CA",
            "license": "20A9311",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "20A9311",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "20A9311",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A9311",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "20A9311",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "20A9311",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Lynn Norberg
• North Star Treatment LLC
• Danica Norton, PT
• Elena Novak, PA
• Jazmine Novela
• Nutrition Care Plus
• Robert John Oakes III
• Oc Pharmacy
• Ocean Hills Recovery Inc.
• Ocean Hills Recovery Inc.

• General Practice Physician in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.