Organization Active NPI

Allameh Medical Corporation

  • Nephrology Physician
  • Mission Viejo, CA
National Provider Identifier
1992052369
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A102735 Issued in CA
Legal business name
ALLAMEH MEDICAL CORPORATION
Practice address
25982 Pala Ste 170
Mission Viejo, CA 92691-6736
Phone
(949) 581-2002
Fax
(949) 581-2221
NPI assigned
Aug 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Authorized official

Name
Reza Allamehzadeh, M.D.NPI 1467606053
Title
President / Ceo
Phone
(949) 922-9170

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X A102735 CA Primary

Addresses

Primary practice location

25982 Pala Ste 170
Mission Viejo, CA 92691-6736

Mailing address

25982 Pala Ste 170
Mission Viejo, CA 92691-6736
Phone (949) 581-2002

Other identifiers 2

IdentifierTypeStateIssuer
A102735OtherCASTATE LIC. #
ZZZ70903YOtherCABLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121008000541 CA Part B Supplier - Clinic/Group Practice 8527217520 Receives reassigned benefits from 1 practitioner
Practice locations: Mission Viejo, 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
05D2002852Allameh Medical Corporation25982 Pala, Ste 170, Mission Viejo, CA 92691Certificate of waiverOct 26, 2026

National Provider Directory

National Provider Directory

Locations

24881 Alicia Pkwy
Ste E467
Laguna Hills, CA 92653

24881 Alicia Pkwy
Ste N
Laguna Hills, CA 92653
Phone (949) 510-2259

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 1

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": "1344124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1992052369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25982 PALA STE 170",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916736",
            "telephone_number": "949-581-2002",
            "fax_number": "949-581-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25982 PALA STE 170",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916736",
            "telephone_number": "949-581-2002",
            "fax_number": "949-581-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLAMEH MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-05",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "ALLAMEHZADEH",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "949-922-9170",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A102735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC. #",
            "identifier": "A102735",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ70903Y",
            "state": "CA"
        }
    ],
    "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 Dec 3, 2025; 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.