DR. MARCO M ZAHEDI M.D. M.P.H. NPI 1063779163

NPI Information

  • NPI: 1063779163
  • Provider Name: DR. MARCO M ZAHEDI, M.D., M.P.H.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 05D2229894
  • Address: 1200 N TUSTIN AVE STE 120
    SANTA ANA, CA
    ZIP 92705
  • Phone: (949) 371-9862

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NPI Details

DR. Marco M Zahedi, M.D., M.P.H. is a family medicine in Santa Ana, CA with 13 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Marco M Zahedi, M.D., M.P.H. NPI is 1063779163. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduation Year:2012

The provider's business location address is:

1200 N TUSTIN AVE STE 120
SANTA ANA, CA
ZIP 92705-502
Phone: (949) 371-9862
Fax: (866) 439-4879

The NPI 1063779163 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 05D2229894 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/13/2012 and was last updated on 1/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineA138224CALIFORNIAYes
2207QA0401XFamily MedicineAddiction MedicineA138224CALIFORNIANo
3208D00000XGeneral PracticeA138224CALIFORNIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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