| Dr Shahram Javaheri, MD | |
|
26691 Plaza Ste 150, Mission Viejo, CA 92691-6329 | |
| (949) 389-0660 | |
| (949) 389-0668 |
| Full Name | Dr Shahram Javaheri |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 30 Years |
| Location | 26691 Plaza Ste 150, Mission Viejo, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497861439 | NPI | - | NPPES |
| 00A642390 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MED-PHYS-LIC-114422 (Montana) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | A064239 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mission Hospital Regional Med Center | Mission viejo, CA | Hospital |
| St Mary Medical Center | Long beach, CA | Hospital |
| Entity Name | Shahram Javaheri, Md, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760589097 PECOS PAC ID: 0840272761 Enrollment ID: O20040603001503 |
| Entity Name | Emergency And Acute Care Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
| Entity Name | Emergency Associates Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003866120 PECOS PAC ID: 8022196518 Enrollment ID: O20080424000144 |
| Entity Name | Western Gastroenterology Care Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508391822 PECOS PAC ID: 2062780307 Enrollment ID: O20170609002008 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shahram Javaheri, MD Po Box 12512, Newport Beach, CA 92658-5065 Ph: (949) 389-0660 | Dr Shahram Javaheri, MD 26691 Plaza Ste 150, Mission Viejo, CA 92691-6329 Ph: (949) 389-0660 |
Amy Thu Bui, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 26800 Crown Valley Pkwy, Suite 230, Mission Viejo, CA 92691 Phone: 949-542-8004 Fax: 949-364-3682 | |
Michael Pm Truong, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 26800 Crown Valley Pkwy, Suite 230, Mission Viejo, CA 92691 Phone: 949-364-3330 Fax: 949-364-3682 | |
Erene Nawar Sami, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 26800 Crown Valley Pkwy Ste 485, Mission Viejo, CA 92691 Phone: 949-364-5830 | |
Dr. Paul A Wehrle, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 26800 Crown Valley Pkwy., Suite 100, Mission Viejo, CA 92691 Phone: 949-364-6000 Fax: 949-364-1647 | |
Dr. Brett Michael Wertman, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 27800 Medical Center Rd, Suite 222, Mission Viejo, CA 92691 Phone: 949-276-2446 Fax: 949-276-2449 | |
Dr. Eric Olson Benner, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 26800 Crown Valley Pkwy Ste 315, Mission Viejo, CA 92691 Phone: 949-364-6000 Fax: 949-364-1204 | |
Dr. Richard Jacob, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 26800 Crown Valley Pkwy, Suite 250, Mission Viejo, CA 92691 Phone: 949-364-3570 Fax: 949-364-3430 |