Individual provider Active NPI

Gharoon Panahi, MD

  • Rheumatology Physician
  • Fountain Valley, CA
National Provider Identifier
1912956053
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A34894 Issued in CA
Practice address
11180 Warner Ave #157
Fountain Valley, CA 92708
Phone
(714) 825-0891
Fax
(714) 825-1641
NPI assigned
May 8, 2006
Last updated
Nov 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X A34894 CA Primary

Addresses

Primary practice location

11180 Warner Ave #157
Fountain Valley, CA 92708

Mailing address

11180 Warner Ave #157
Fountain Valley, CA 92708
Phone (714) 825-0891

Other identifiers 1

IdentifierTypeStateIssuer
00A348940MedicaidCA

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
I20100316000262 CA Practitioner - Internal MedicinePractitioner - Rheumatology 0042345001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Rheumatology
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gharoon Panahi MD IncGroup PAC ID 9931234994, 2 clinicians

Practice addresses (Care Compare)

11180 Warner Ave
Suite 157
Fountain Valley, CA 92708-7515
Phone (714) 825-0891

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.03 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
66.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A34894CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gharoon Panahi MD Inc Rheumatology CurrentSince Oct 11, 2009 Accepting new patients

Locations

11180 Warner Ave
Ste 157
Fountain Vly, CA 92708
Phone (714) 825-0891

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1912956053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11180 WARNER AVE #157",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "92708",
            "telephone_number": "714-825-0891",
            "fax_number": "714-825-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11180 WARNER AVE #157",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "92708",
            "telephone_number": "714-825-0891",
            "fax_number": "714-825-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANAHI",
        "first_name": "GHAROON",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A34894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A348940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.