Maryam Yazdanshenas (NPI# 1548555212, PAC ID# 2769608934) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1548555212 |
| PAC ID by PECOS | 2769608934 |
| Professional Enrollment ID | I20140723002757 |
| Full Name | Maryam Yazdanshenas |
| Organization Legal Name | MEMORIALCARE MEDICAL FOUNDATION |
| Address |
1300 Avenida Vista Hermosa Suite 250 San Clemente CA 92673-6340 |
| Phone Number | 9495427700 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8729277314 |
| Number of Group Practice Members | 309 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050603 | SADDLEBACK MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1300 Avenida Vista Hermosa, Suite 250, San Clemente, CA 92673-6340 | 9495427700 | MEMORIALCARE MEDICAL FOUNDATION |
| Organization Legal Name | MEMORIALCARE MEDICAL FOUNDATION |
| Physicians | 294 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara Etemad | Family Medicine | Memorialcare Medical Foundation | 1451 Irvine Blvd, Tustin, CA 92780-3804 |
| Ghe S Rosales-vong | Family Medicine | Memorialcare Medical Foundation | 1212 W 17th St, Santa Ana, CA 92706-3418 |
| Tiffany J Chen | Family Medicine | Memorialcare Medical Foundation | 15464 Goldenwest St, Westminster, CA 92683-6149 |
| Mary Lou L David | Nurse Practitioner | Memorialcare Medical Foundation | 23512 Madero, Mission Viejo, CA 92691-2743 |
| Fariba Gharai | Thoracic Surgery | Memorialcare Medical Foundation | 3828 Schaufele Ave, Suite 340, Long Beach, CA 90808-1793 |
| Pamela M Wade | Nurse Practitioner | Memorialcare Medical Foundation | 450 E Spring St, Suite 1, Long Beach, CA 90806-1625 |
| Jane M Mitsumori | Physical Therapy | Memorialcare Medical Foundation | 9122 Adams Ave, Huntington Beach, CA 92646-3405 |
| Derek M Browne | Family Medicine | Memorialcare Medical Foundation | 22719 Hawthorne Blvd, Torrance, CA 90505-3613 |
| Roxann Sonia Engle | Family Medicine | Memorialcare Medical Foundation | 19871 Yorba Linda Blvd, Suite 104, Yorba Linda, CA 92886-2811 |
| Jon G Biorkman | Family Medicine | Memorialcare Medical Foundation | 4050 Barranca Pkwy, Suite 200, Irvine, CA 92604-1723 |
| Street Address |
1300 AVENIDA VISTA HERMOSA SUITE 250 |
| City | SAN CLEMENTE |
| State | CA |
| Zip | 92673-6340 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Radford W Rosebrough | Emergency Medicine | South County Urgent Care Medical Corporation | 1300 Avenida Vista Hermosa, Suite 100, San Clemente, CA 92673-6315 |
| John Gentile | Emergency Medicine | South County Urgent Care Medical Corporation | 1300 Avenida Vista Hermosa, Suite 100, San Clemente, CA 92673-6315 |
| Jeremy Paul La Motte | Family Medicine | 1300 Avenida Vista Hermosa, Suite 100, San Clemente, CA 92673-6315 | |
| Anthony Jaeyun Cho | Family Medicine | Memorialcare Medical Foundation | 1300 Avenida Vista Hermosa, Suite 250, San Clemente, CA 92673-6340 |
| Ronald K Mcgee | Family Medicine | South County Urgent Care Medical Corporation | 1300 Avenida Vista Hermosa, Suite 100, San Clemente, CA 92673-6315 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William L Van Der Reis | Orthopedic Surgery | 653 Camino De Las Mares, Suite 109, Sam Clemente, CA 92673 | |
| Sandra K Wong | Physical Therapy | 660 Camino De Los Mares, San Clemente, CA 92673-1800 | |
| Jeffrey Felgner | Family Practice | Advanced Medical Home Physicians Inc | 660 Camino De Los Mares, San Clemente, CA 92673-1800 |
| Bella Darji | Nurse Practitioner | Advanced Medical Home Physicians Inc | 660 Camino De Los Mares, San Clemente, CA 92673-1800 |
| Holly K Finley | Physical Therapy | Catch A Wave Physical Therapy | 647 Camino De Los Mares, Suite 111, San Clemente, CA 92673-2806 |
| David W Reenders | Physical Therapy | Catch A Wave Physical Therapy | 647 Camino De Los Mares, Suite 111, San Clemente, CA 92673-2806 |
| Megan E Parent | Physical Therapy | Catch A Wave Physical Therapy | 647 Camino De Los Mares, Suite 111, San Clemente, CA 92673-2806 |
| Sonia D Armbruster | Physical Therapy | Catch A Wave Physical Therapy | 647 Camino De Los Mares, Suite 111, San Clemente, CA 92673-2806 |
| Maren T George | Physical Therapy | Catch A Wave Physical Therapy | 647 Camino De Los Mares, Suite 111, San Clemente, CA 92673-2806 |
| Burton Leland Wagner | Chiropractic | 647 Camino De Los Mares, Suite 220, San Clemente, CA 92673-2807 | |
| Find all physicians in zip 92673 | |||
| City | SAN CLEMENTE |
| Zip Code | 92673 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SAN CLEMENTE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Maryam Yazdanshenas.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.