Individual provider Active NPI

Sahar Sara Teimoori, LCSW, PSY.D.

  • Clinical Social Worker
  • Irvine, CA
National Provider Identifier
1952588576
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS17444 Issued in CA
Practice address
2192 Martin
Suite 165
Irvine, CA 92612-1483
Phone
(949) 752-6268
Fax
(949) 725-0914
NPI assigned
Jan 25, 2008
Last updated
Nov 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS17444 CA Primary

Addresses

Primary practice location

2192 Martin
Suite 165
Irvine, CA 92612-1483

Mailing address

PO Box 53633
Irvine, CA 92619-3633
Phone (949) 752-6268

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041117000775 CA Practitioner - Clinical Social Worker 4385608504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5001 Birch St
Newport Beach, CA 92660-2116
Phone (949) 677-5589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS17444CAMDClinical Social Worker

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.

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320624000000",
    "number": "1952588576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53633",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926193633",
            "telephone_number": "949-752-6268",
            "fax_number": "949-725-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2192 MARTIN",
            "address_2": "SUITE 165",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121483",
            "telephone_number": "949-752-6268",
            "fax_number": "949-725-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEIMOORI",
        "first_name": "SAHAR",
        "middle_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "LCSW, PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-25",
        "last_updated": "2011-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS17444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.