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FRED KHONSARI MEDICAL CORPORATION
NPI 1275734410
Urology in Orange, CA

Active since May 29, 2007
1140 W LA VETA AVE, SUITE # 605, ORANGE, CA 92868(714) 547-7457(714) 547-6202 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Fred Khonsari Medical Corporation NPPES

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

FRED KHONSARI MEDICAL CORPORATION (NPI 1275734410) is a healthcare organization registered as an urology in Orange, California and active in the NPI registry since May 2007. The organization lists Feraidoun Khonsari, Corporation President, as its authorized official.

NPPES Registry Identity

NPI1275734410
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameFRED KHONSARI MEDICAL CORPORATION
Location Address1140 W LA VETA AVE, SUITE # 605Orange, CA 92868-4223
Mailing Address1140 W La Veta Ave, Suite # 605Orange, CA 92868-4223 · (714) 547-7457 · Fax (714) 547-6202
Phone(714) 547-7457
Fax(714) 547-6202
Organization SubpartNo
Authorized OfficialFeraidoun KhonsariCorporation President · (714) 547-7457
Enumeration DateMay 29, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1275734410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1140 W LA VETA AVE, Orange, CA 92868
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Other Identifiers 1

Medicaid00A310980CA

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

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.

JANINE CHRISTIAN HENDRICKSON R.N.P.
Nurse Practitioner (Obstetrics & Gynecology)
1140 W LA VETA AVE, SUITE 770
ORANGE, CA 92868
Orange County (714) 835-8715
THERESA LEMBESIS PHARMD
Pharmacist
1140 W LA VETA AVE
ORANGE, CA 92868
Orange County (714) 744-8724
JENNIFER J. JUDELSON PA-C
Physician Assistant
1140 W LA VETA AVE, SUITE 860
ORANGE, CA 92868
Orange County (714) 835-6500
LAUREN TRAN PHARMD
Pharmacist
1140 W LA VETA AVE
ORANGE, CA 92868
Orange County (714) 744-8724
STERLING B MUTZ MD INC JULIO TALEISNIK MD INC ET AL
Occupational Therapist (Hand)
1140 W LA VETA AVE, SUITE 860
ORANGE, CA 92868
Orange County (714) 835-6500
JEFFREY M. SHAPIRO, MD, INC
Internal Medicine
1140 W LA VETA AVE, SUITE 615
ORANGE, CA 92868
Orange County (714) 543-8555
UC IRVINE CARDIOPULMONARY CLINIC
Clinic/Center (Medical Specialty)
1140 W LA VETA AVE, SUITE 750
ORANGE, CA 92868
Orange County (855) 563-5320
EDWARD SU-CHONG LEE M.D.
Otolaryngology
1140 W LA VETA AVE, STE. 520
ORANGE, CA 92868
Orange County (714) 543-2000

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 Fred Khonsari Medical Corporation's NPI number?

The NPI number for Fred Khonsari Medical Corporation is 1275734410. It was assigned to this organization in the NPPES registry on May 29, 2007.

Where is Fred Khonsari Medical Corporation located?

Fred Khonsari Medical Corporation is located at 1140 W La Veta Ave Suite # 605, Orange, CA 92868. The listed phone number is (714) 547-7457.

What is Fred Khonsari Medical Corporation's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Fred Khonsari Medical Corporation was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.