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Export Provider Record NPI 1376066548
Golshan FahimiMD
Active
NPI Number1376066548
NPI TypeNPI-1 Individual
Provider Details
NPI1376066548
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2017-07-19
Last Updated2024-08-05
Mailing Address23512 Madero Rd.
Mission Viejo, CA 92691
United States
Phone: (949) 583-1600 | Fax: (949) 454-8067
๐Ÿ“ View Map
Primary Practice Address23512 Madero Rd.
Mission Viejo, CA 92691
United States
Phone: (949) 583-1600 | Fax: (949) 454-8067
๐Ÿ“ View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes2084N0600X โ€“ CAA175507
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About NPI 1376066548

Golshan Fahimi MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1376066548. The provider is located in Mission Viejo, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2017-07-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1376066548?

NPI 1376066548 belongs to Golshan Fahimi MD in Mission Viejo, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1376066548 active?

The current status of NPI 1376066548 in the NPPES registry is Active. The record was last updated on 2024-08-05.

What specialty is NPI 1376066548?

The taxonomy for NPI 1376066548 can be viewed in the Taxonomy section above. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1376066548?

You can verify NPI 1376066548 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1376066548?

The primary practice address on file for NPI 1376066548 is 23512 Madero Rd., Mission Viejo, CA 92691. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1376066548 issued?

NPI 1376066548 was first issued (enumerated) on 2017-07-19. The NPPES record was last updated on 2024-08-05.

Practice Location Map

Golshan Fahimi is located at 23512 Madero Rd., Mission Viejo, CA. Use the map below to find directions or verify the practice location.

๐Ÿ“ 23512 Madero Rd., Mission Viejo, CA 92691  ยท  Open in Google Maps โ†—

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Golshan Fahimi. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1376066548. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
2084N0600XA175507CA
Data Verified from CMS NPPES Last synced: 2026-08-20 ยท Source: npiregistry.cms.hhs.gov ยท 45 CFR Part 162