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DR. AFSHIN HAMIDI M.D.
NPI 1609222090
Internal Medicine - Endocrinology, Diabetes & Metabolism in Rancho Santa Margarita, CA

Active since May 04, 2016PECOS EnrolledAccepts Medicare Assignment
30511 AVENIDA DE LAS FLORES # 1064, RANCHO SANTA MARGARITA, CA 92688(858) 933-5050(941) 833-7581 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 14, 2024, Mar 28, 2023, Jan 16, 2023 and 9 more (12 updates tracked since 2016).

About Dr. Afshin Hamidi M.d. NPPES

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

DR. AFSHIN HAMIDI M.D. (NPI 1609222090) is an individual endocrinology, diabetes & metabolism provider in Rancho Santa Margarita, California, licensed in California (162227) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1609222090
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. AFSHIN HAMIDICredential: M.D.
Location Address30511 AVENIDA DE LAS FLORES # 1064Rancho Santa Margarita, CA 92688-3941
Mailing Address30511 Avenida De Las Flores # 1064Rancho Santa Margarita, CA 92688-3941 · (858) 933-5050 · Fax (941) 833-7581
Phone(858) 933-5050
Fax(941) 833-7581
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMay 4, 2016
Last NPPES UpdateJune 14, 202412 updates tracked since enumeration
NPPES CertifiedJune 14, 2024
✔ NPI 1609222090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in CA · 162227
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
30511 AVENIDA DE LAS FLORES # 1064, Rancho Santa Margarita, CA 92688
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Afshin Hamidi M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709113087
PECOS Enrollment IDI20211109002124
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Afshin Hamidi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dr Hamidi Excellent Care A Professional Corporation
6.6 mi
Endocrinology, Diabetes & Metabolism
24451 HEALTH CENTER DR
Laguna Hills, CA 92653
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Dr Hamidi Excelent Care Inc
NPI 1912660549 (858) 933-5050
Quantum Healthcare Medical Associates Inc.
33 mi
Hospitalist
400 N PEPPER AVE
Colton, CA 92324
  • Reassigned Medicare billing, California enrollment
  • 338 clinicians in this Medicare group
NPI 1568490597 (909) 580-1000
Clinic Services Of California Medical Group Inc
372 mi
Emergency Medicine
1235 W VINE ST, SUITE 20
Lodi, CA 95240
  • Reassigned Medicare billing, California enrollment
  • 148 clinicians in this Medicare group
NPI 1578958450 (925) 924-1600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
131 services56 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
58 services21 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
33 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92688 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers55 claims55 services$186.28 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Afshin Hamidi's NPI number?

The NPI number for Afshin Hamidi is 1609222090. It was assigned to this individual provider in the NPPES registry on May 4, 2016.

Where is Afshin Hamidi located?

Afshin Hamidi practices at 30511 Avenida De Las Flores # 1064, Rancho Santa Margarita, CA 92688. The listed phone number is (858) 933-5050.

What is Afshin Hamidi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Afshin Hamidi enrolled in Medicare?

Yes. Afshin Hamidi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Afshin Hamidi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Afshin Hamidi reassigns Medicare benefits to 3 organizations: Dr Hamidi Excellent Care A Professional Corporation (Laguna Hills, CA), Quantum Healthcare Medical Associates Inc. (Colton, CA) and Clinic Services Of California Medical Group Inc (Lodi, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Afshin Hamidi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Afshin Hamidi accept?

Health plans from Anthem Blue Cross and Blue Shield list Afshin Hamidi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Afshin Hamidi was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.