SHAHRYAR MOUSAVI (NPI# 1023263282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023263282 |
| Entity Type | Individual |
| Full Name | SHAHRYAR MOUSAVI |
| Credential | MD |
| Practice Address |
24953 Paseo De Valencia #3a Laguna Hills CA 92653-4342 |
| Mailing Address |
35 Creek Rd Irvine CA 92604-4724 |
| Practice Telephone | 9492973838 |
| Mailing Telephone | 3154644889 |
| Mailing Fax Number | 9496791084 |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2015-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | A128033 | CA | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
A128033 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | CB235450 | 01 |
| Street Address |
24953 PASEO DE VALENCIA #3A |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653-4342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063416410 | Inderpal Singh Gujral | Internal Medicine | 24953 Paseo De Valencia, 30 A, Laguna Hills, CA 92653-4342 | 2005-06-13 |
| 1093269763 | David Scot Zimmerman PC | Family Medicine | 24953 Paseo De Valencia, Ste 10-b, Laguna Hills, CA 92653-4342 | 2016-08-10 |
| 1235558974 | Donna Farris | Social Worker | 24953 Paseo De Valencia, Suite 10-c, Laguna Hills, CA 92653-4342 | 2014-04-09 |
| 1801227285 | Memorial Radiation Oncology Medical Group | Radiology | 24953 Paseo De Valencia, Laguna Hills, CA 92653-4342 | 2013-12-10 |
| 1558797837 | Kimberly Sue Rice | Nurse Practitioner | 24953 Paseo De Valencia, Suite 5a, Laguna Hills, CA 92653-4342 | 2013-09-18 |
| 1093012494 | Quoc L. Nguyen, D.d.s. A Professional Dental Corporation | Clinic/Center | 24953 Paseo De Valencia, Ste 1 C, Laguna Hills, CA 92653-4394 | 2011-02-21 |
| 1326359209 | Al-abdulla Dds Inc | Durable Medical Equipment & Medical Supplies | 24953 Paseo De Valencia, 26b, Laguna Hills, CA 92653-4342 | 2010-06-25 |
| 1083945240 | Saddleback Medical Arts Pharmacy Inc | Pharmacy | 24953 Paseo De Valencia, #17-b, Laguna Hills, CA 92653-4342 | 2010-01-27 |
| 1902135940 | David B. Okun M.d. Inc. | Internal Medicine | 24953 Paseo De Valencia, #25 B, Laguna Hills, CA 92653-4342 | 2009-12-22 |
| 1417286980 | Brian I. Watanabe, M.d., Inc. | Surgery | 24953 Paseo De Valencia, Suite 15c, Laguna Hills, CA 92653-4342 | 2009-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437156627 | Standiford Helm | Pain Medicine | 24902 Moulton Pkwy, Suite 200, Laguna Hills, CA 92637-6410 | 2005-07-01 |
| 1982635322 | Standiford Helm II, M.d. Inc. | Pain Medicine | 24902 Moulton Pkwy, Suite 200, Laguna Hills, CA 92637-6410 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795836 | John Qian M.d. Inc. | Pain Medicine | 5360 Jackson Dr Ste 100, La Mesa, CA 91942-3012 | 2020-03-18 |
| 1831751403 | Abigail Howe | Pain Medicine | 2421 Park Blvd # B205, Palo Alto, CA 94306-1998 | 2019-07-03 |
| 1144781519 | Central Coast Functional Restoration Program Inc | Pain Medicine | 1260 41st Ave Ste D, Capitola, CA 95010-3929 | 2019-03-28 |
| 1497226419 | Birladeanu Medical Corp | Pain Medicine | 5255 Elkhorn Blvd Ste A, Sacramento, CA 95842-2506 | 2018-12-17 |
| 1033649413 | Latora Subani | Pain Medicine | 16179 Siskiyou Rd, Apple Valley, CA 92307-1314 | 2017-06-18 |
| 1982061354 | Hilary J Fausett, M.d. A Medical Corporation | Pain Medicine | 39 Congress St Ste 303, Pasadena, CA 91105-3022 | 2016-01-15 |
| 1346616695 | Nuvation Pain Group | Pain Medicine | 5832 Beach Blvd Unit 208, Buena Park, CA 90621-5501 | 2015-08-20 |
| 1740674050 | Guardian Headache and Pain Management Institute LLC | Pain Medicine | 3747 Franklin Ave, Suite 200, Long Beach, CA 90808-1334 | 2015-03-25 |
| 1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
| 1659772606 | Sonny Rubin, M.d. Inc | Pain Medicine | 455 Old Newport Blvd, Suite 101, Newport Beach, CA 92663-4241 | 2014-09-09 |
| Find all providers with the same taxonomy | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.