| Direct Medical Ventures Inc. | |
|
25301 Cabot Rd Ste 103 Laguna Hills CA 92653-5511 | |
| (949) 200-6001 | |
| Not Available |
| Full Name | Direct Medical Ventures Inc. |
|---|---|
| Speciality | Emergency Medicine |
| Location | 25301 Cabot Rd Ste 103, Laguna Hills, California |
| Authorized Official Name and Position | Mehrdad Soleimani (PROVIDER) |
| Authorized Official Contact | 9492006001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Direct Medical Ventures Inc. 44045 Margarita Rd Ste 203 Temecula CA 92592-2730 Ph: (949) 200-6001 | Direct Medical Ventures Inc. 25301 Cabot Rd Ste 103 Laguna Hills CA 92653-5511 Ph: (949) 200-6001 |
| NPI Number | 1831700046 |
|---|---|
| Provider Enumeration Date | 08/11/2020 |
| Last Update Date | 08/09/2023 |
| Medicare PECOS PAC ID | 9638597354 |
|---|---|
| Medicare Enrollment ID | O20200913000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831700046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Primary |
| Provider Name | Tasneem Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861532392 PECOS PAC ID: 5597669259 Enrollment ID: I20031124000525 |
| Provider Name | Patricia K Deckert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922169036 PECOS PAC ID: 4486818200 Enrollment ID: I20120607000175 |
| Provider Name | Mehrdad Soleimani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679869705 PECOS PAC ID: 3779745575 Enrollment ID: I20140619001309 |
| Provider Name | Linda Marie Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104094937 PECOS PAC ID: 4486708252 Enrollment ID: I20141016002010 |
| Provider Name | Bardia Sadr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912398785 PECOS PAC ID: 3971897992 Enrollment ID: I20160812001604 |
| Provider Name | Farhad Najafi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447693742 PECOS PAC ID: 7416239926 Enrollment ID: I20170118001081 |
| Provider Name | Jason T Vu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073957718 PECOS PAC ID: 5496057291 Enrollment ID: I20181016002235 |
| Provider Name | Evan Laveman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134654148 PECOS PAC ID: 7315288560 Enrollment ID: I20190416002241 |
| Provider Name | Michelle Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487012811 PECOS PAC ID: 1850640871 Enrollment ID: I20200430002112 |
| Provider Name | Callie R Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487294591 PECOS PAC ID: 1658791165 Enrollment ID: I20201022002612 |
| Provider Name | Jailyn Avila |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740549419 PECOS PAC ID: 9436395092 Enrollment ID: I20211101000446 |
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