DR. HAMID R FADAVI (NPI# 1477787034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477787034 |
| Entity Type | Individual |
| Full Name | DR. HAMID R FADAVI |
| Credential | D.O. |
| Practice Address |
26932 Oso Pkwy Suite 275 Mission Viejo CA 92691-5815 |
| Practice Telephone | 9499168100 |
| Practice Fax Number | 9499168555 |
| Mailing Telephone | 9499168100 |
| Mailing Fax Number | 9499168555 |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2014-02-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
1080 DO | AL | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
20A11189 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PTAN | CB207387 | 01 |
| Street Address |
26932 OSO PKWY SUITE 275 |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92691-5815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386606739 | Kristen Calame Miller | Nurse Practitioner | 26932 Oso Pkwy, Suite 270, Mission Viejo, CA 92691-5815 | 2006-04-03 |
| 1215478623 | Mark K Addonizio Dds Inc | Durable Medical Equipment & Medical Supplies | 26932 Oso Pkwy, Suite 210, Mission Viejo, CA 92691-5815 | 2017-03-17 |
| 1336550367 | Patricia S Masters | Marriage & Family Therapist | 26932 Oso Pkwy, Suite 200, Mission Viejo, CA 92691-5815 | 2014-05-13 |
| 1811239536 | Hamid Fadavi Do Inc | Physical Medicine & Rehabilitation | 26932 Oso Pkwy, Suite 275, Mission Viejo, CA 92691-5815 | 2013-03-20 |
| 1912283839 | Mcayla Sarno | Marriage & Family Therapist | 26932 Oso Pkwy, Suite 200, Mission Viejo, CA 92691-5815 | 2011-10-24 |
| 1891075123 | Array Skin Therapy, A Medical Corporation | Dermatology | 26932 Oso Pkwy, #270, Mission Viejo, CA 92691-5815 | 2011-08-18 |
| 1427348010 | Oc-psychiatrist Inc. | Clinic/Center | 26932 Oso Pkwy, #200, Mission Viejo, CA 92691-5815 | 2011-04-15 |
| 1619203387 | Deborah Eve Mccarthy | Dietitian, Registered | 26932 Oso Pkwy, Suite 200, Mission Viejo, CA 92691-5815 | 2009-10-30 |
| 1366778086 | James P Murphy Inc | Physical Medicine & Rehabilitation | 26932 Oso Pkwy, Suite 275, Mission Viejo, CA 92691-5815 | 2009-10-30 |
| 1871721860 | F Lee Irwin Jr Md Inc | Physical Medicine & Rehabilitation | 26932 Oso Pkwy, Suite 275, Mission Viejo, CA 92691-5815 | 2009-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748247 | Sonja Wood | Registered Nurse | 92691 Avenida Deseo, Mission Viejo, CA 92691 | 2020-04-09 |
| 1912488487 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 27551 Puerta Real, Mission Viejo, CA 92691 | 2018-08-23 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1215426762 | Gail G Warner | Marriage & Family Therapist | 26050 Acero, Suite 301, Mission Viejo, CA 92691 | 2018-05-09 |
| 1508354176 | Tania Choudhary | Student in an Organized Health Care Education/Training Program | 23595 Rangoon St, Mission Viejo, CA 92691 | 2018-04-28 |
| 1710486519 | Aubriana Denise Gray | Counselor | 25802 Pacifica Ave, Mission Viejo, CA 92691 | 2018-02-07 |
| 1487162707 | Alberto Israel Galicia | Case Manager/Care Coordinator | 27261 Las Ramblas, Suite 220, Mission Viejo, CA 92691 | 2018-01-22 |
| 1629595244 | Elisabeth A Lischer | Counselor | 26137 La Paz Road, Suite 230, Mission Viejo, CA 92691 | 2017-08-24 |
| 1639694227 | Dr. Horiyat, A Dental Corporation | Dentist | 27652 Crown Valley Parkway, Mission Viejo, CA 92691 | 2017-08-04 |
| 1255851689 | Jackelin Liseth Martinez | Counselor | 25402 Pacifica Avenue, Mission Viejo, CA 92691 | 2017-06-27 |
| Find all providers in zip 92691 | ||||
| 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 |
|---|---|---|---|---|
| 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 | MISSION VIEJO |
| Zip Code | 92691 |
Please comment or provide details below to improve the information on DR. HAMID R FADAVI.
| 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.