Organization Active NPI

Dr. M. Forghani S. C

  • Obstetrics & Gynecology Physician
  • Garden Grove, CA
National Provider Identifier
1912176264
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
DR. M. FORGHANI S. C
Practice address
12665 Garden Grove Blvd
Suite 601
Garden Grove, CA 92843-1901
Phone
(714) 537-1387
Fax
(714) 537-0917
NPI assigned
Feb 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Authorized official

Name
Mehrdad Forghani-Arani, DONPI 1457373342
Title
President
Phone
(714) 537-1387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary
Medical Specialty Clinic/Center 261QM2500X 20A8699 CA

Addresses

Primary practice location

12665 Garden Grove Blvd
Suite 601
Garden Grove, CA 92843-1901

Mailing address

12665 Garden Grove Blvd
Suite 601
Garden Grove, CA 92843-1901
Phone (714) 537-1387

Other identifiers 2

IdentifierTypeStateIssuer
00AX86991MedicaidCA
W17279OtherCAGROUP MEDICARE ID NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040621001859 CA Part B Supplier - Clinic/Group Practice 5597740894 Receives reassigned benefits from 1 practitioner
Practice locations: Garden Grove, CA; Santa Ana, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1007852Dr M Forghani, S. Corp12665 Garden Grove Blvd, Suite 601, Garden Grove, CA 92843Certificate of waiverJan 1, 2027

National Provider Directory

National Provider Directory

Locations

1515 N Broadway
Santa Ana, CA 92706
Phone (714) 542-3500

2621 S Bristol St
Ste 201
Santa Ana, CA 92704
Phone (714) 444-0069

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/75189

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1912176264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12665 GARDEN GROVE BLVD",
            "address_2": "SUITE 601",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431901",
            "telephone_number": "714-537-1387",
            "fax_number": "714-537-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12665 GARDEN GROVE BLVD",
            "address_2": "SUITE 601",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431901",
            "telephone_number": "714-537-1387",
            "fax_number": "714-537-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. M. FORGHANI S. C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "FORGHANI-ARANI",
        "authorized_official_first_name": "MEHRDAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-537-1387",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "20A8699",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX86991",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE ID NUMBER",
            "identifier": "W17279",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.