Provider Type Icon

A. ETEMADI MD INC. NPI 1497993562


NPI Information

NPI: 1497993562
Provider Name: A. ETEMADI MD, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
24881 ALICIA PKWY STE N
LAGUNA HILLS, CA
ZIP 92653
Phone: (949) 510-2259
Get Directions

A. ETEMADI MD, INC. is a family medicine in Laguna Hills, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. A. ETEMADI MD, INC. NPI is 1497993562. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

24881 ALICIA PKWY STE N
LAGUNA HILLS, CA
ZIP 92653-617
Phone: (949) 510-2259
Fax: (949) 388-3336

The provider's authorized official is Shahnaz Lewis .
The authorized official title is Billing Manager and has the following contact phone number (949) 495-1416.

The enumeration date for this NPI number is 1/28/2009 and was last updated on 2/9/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineG67093CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G67093OTHERCALIFORNIACA STATE LICENSE
200G670930MEDICAIDCALIFORNIA
3BL852AMEDICARE PINCALIFORNIA
4ZZZ56190YOTHERCALIFORNIABLUE SHIELD
5F09006MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.