Active NPI
Hosseini MD Medical Inc
- Endocrinology, Diabetes & Metabolism Physician
- Mission Viejo, CA
National Provider Identifier
1891386843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Mission Viejo, CA
- NPI 1629324140
Single Specialty
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.