MIR M. MADANI M.D. A PROFESSIONAL MEDICAL CORPORATION
NPI 1073799979
Internal Medicine - Critical Care Medicine in Los Alamitos, CA

Active since January 10, 2008CLIA 05D1000671 · Waiver
3801 KATELLA AVE, SUITE 310, LOS ALAMITOS, CA 90720(562) 598-2141(562) 598-1649 Get Directions Write a Review

NPPES record last updated: September 4, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mir M. Madani M.d. A Professional Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIR M. MADANI M.D. A PROFESSIONAL MEDICAL CORPORATION (NPI 1073799979) is a healthcare organization registered as a critical care medicine in Los Alamitos, California and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through June 18, 2028 and lists Mir M Madani, President, as its authorized official.

NPPES Registry Identity

NPI1073799979
Entity TypeOrganization
Primary Taxonomy207RC0200X
Legal Business NameMIR M. MADANI M.D. A PROFESSIONAL MEDICAL CORPORATION
Location Address3801 KATELLA AVE, SUITE 310Los Alamitos, CA 90720-3338
Mailing Address3801 Katella Ave, Suite 310Los Alamitos, CA 90720-3338 · (562) 598-2141 · Fax (562) 598-1649
Fax(562) 598-1649
Organization SubpartNo
Authorized OfficialMir M MadaniPresident · (562) 598-2141
Enumeration DateJanuary 10, 2008
Last NPPES UpdateSeptember 4, 2010
NPI 1073799979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
3801 KATELLA AVE, Los Alamitos, CA 90720

Other Identifiers 1

Medicare PINW18103CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1000671

Mir M Madani MD · Los Alamitos, CA
Active · expires Jun 18, 2028
CLIA Number05D1000671
Laboratory TypePhysician Office
Certificate Effective DateJune 19, 2026
Certificate Expiration DateJune 18, 2028
Laboratory DirectorMir M. Madani MD
Laboratory Phone(562) 598-2141
Laboratory LocationMir M Madani MD3801 Katella Avenue,suite 310, Los Alamitos, CA 90720
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Allergy & Immunology (Allergy)
3801 KATELLA AVE, SUITE 201
LOS ALAMITOS, CA 90720
Clinic/Center (Medical Specialty)
3801 KATELLA AVE, SUITE 321
LOS ALAMITOS, CA 90720
Internal Medicine (Hematology & Oncology)
3801 KATELLA AVE, SUITE 207
LOS ALAMITOS, CA 90720
Pediatrics
3801 KATELLA AVE, STE 221
LOS ALAMITOS, CA 90720
Internal Medicine (Interventional Cardiology)
3801 KATELLA AVE, SUITE 310
LOS ALAMITOS, CA 90720
Internal Medicine (Hematology & Oncology)
3801 KATELLA AVE, SUITE #207
LOS ALAMITOS, CA 90720
Internal Medicine (Nephrology)
3801 KATELLA AVE, STE 225
LOS ALAMITOS, CA 90720
Internal Medicine (Cardiovascular Disease)
3801 KATELLA AVE, SUITE 401
LOS ALAMITOS, CA 90720

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mir M. Madani M.D. A Professional Medical Corporation's NPI number?

The NPI number for Mir M. Madani M.D. A Professional Medical Corporation is 1073799979. It was assigned to this organization in the NPPES registry on January 10, 2008.

Where is Mir M. Madani M.D. A Professional Medical Corporation located?

Mir M. Madani M.D. A Professional Medical Corporation is located at 3801 Katella Ave Suite 310, Los Alamitos, CA 90720. The listed phone number is (562) 598-2141.

What is Mir M. Madani M.D. A Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Does Mir M. Madani M.D. A Professional Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1000671) is associated with this NPI, valid through June 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mir M. Madani M.D. A Professional Medical Corporation was last updated on September 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.