Organization Active NPI

Hosseini MD Medical Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Mission Viejo, CA
National Provider Identifier
1891386843
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
HOSSEINI MD MEDICAL INC
Practice address
25982 Pala Ste 140
Mission Viejo, CA 92691-6724
Phone
(949) 407-4404
Fax
(949) 407-4647
NPI assigned
Feb 2, 2021
Last updated
Feb 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Authorized official

Name
Tina Ngo, CPC
Title
Credential Rep
Phone
(657) 900-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU Primary

Addresses

Primary practice location

25982 Pala Ste 140
Mission Viejo, CA 92691-6724

Mailing address

13512 Moore St
Cerritos, CA 90703-2309
Phone (949) 407-4404

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210225003066 CA Part B Supplier - Clinic/Group Practice 9436564341 Receives reassigned benefits from 1 practitioner
Practice locations: Irvine, CA; Mission Viejo, CA; Tustin, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1891386843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13512 MOORE ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032309",
            "telephone_number": "949-407-4404",
            "fax_number": "949-407-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25982 PALA STE 140",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916724",
            "telephone_number": "949-407-4404",
            "fax_number": "949-407-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSSEINI MD MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "CREDENTIAL REP",
        "authorized_official_telephone_number": "657-900-6500",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.