DR. ROXANA GHASHGHAEI M.D.
NPI 1811315674
Internal Medicine - Cardiovascular Disease in Laguna Hills, CA

Active since March 30, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
23961 CALLE DE LA MAGDALENA, LAGUNA HILLS, CA 92653(949) 238-4100 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 13, 2022, May 10, 2022, Mar 13, 2018 (3 updates tracked since 2018).

About Dr. Roxana Ghashghaei M.d. NPPES

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

DR. ROXANA GHASHGHAEI M.D. (NPI 1811315674) is an individual cardiovascular disease provider in Laguna Hills, California, licensed in California (A138044) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2014).

NPPES Registry Identity

NPI1811315674
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameDR. ROXANA GHASHGHAEICredential: M.D.
Location Address23961 CALLE DE LA MAGDALENALaguna Hills, CA 92653-3616
Mailing Address200 S Manchester Ave Ste 300Orange, CA 92868-3219 · (714) 456-2986
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2014
Enumeration DateMarch 30, 2014
Last NPPES UpdateJanuary 21, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2025
NPI 1811315674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in CA · A138044
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
23961 CALLE DE LA MAGDALENA, Laguna Hills, CA 92653

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Roxana Ghashghaei 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 ID143514489
PECOS Enrollment IDI20170202002841
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.

Areas of Expertise CMS Part B claims 34

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
715 services606 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.
519 services273 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
231 services230 patients
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.
123 services101 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
108 services108 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
107 services105 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92653 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.4
Promoting Interoperability100
Improvement Activities40

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.

Anesthesiology (Pain Medicine)
23961 CALLE DE LA MAGDALENA, SUITE 405
LAGUNA HILLS, CA 92653
Neurological Surgery
23961 CALLE DE LA MAGDALENA, 504
LAGUNA HILLS, CA 92653
Psychiatry & Neurology (Neurology)
23961 CALLE DE LA MAGDALENA, SUITE 317
LAGUNA HILLS, CA 92653
Physical Therapist
23961 CALLE DE LA MAGDALENA, SADDLEBACK MEDICAL GROUP, INC, SUITE 130
LAGUNA HILLS, CA 92653
Internal Medicine (Cardiovascular Disease)
23961 CALLE DE LA MAGDALENA, #130
LAGUNA HILLS, CA 92653
Podiatrist (Foot Surgery)
23961 CALLE DE LA MAGDALENA, #143
LAGUNA HILLS, CA 92653
Family Medicine
23961 CALLE DE LA MAGDALENA
LAGUNA HILLS, CA 92653
Ophthalmology
23961 CALLE DE LA MAGDALENA, STE. 302
LAGUNA HILLS, CA 92653

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 Roxana Ghashghaei's NPI number?

The NPI number for Roxana Ghashghaei is 1811315674. It was assigned to this individual provider in the NPPES registry on March 30, 2014.

Where is Roxana Ghashghaei located?

Roxana Ghashghaei practices at 23961 Calle De La Magdalena, Laguna Hills, CA 92653. The listed phone number is (949) 238-4100.

What is Roxana Ghashghaei's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Roxana Ghashghaei enrolled in Medicare?

Yes. Roxana Ghashghaei 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.

When was this NPI record last updated?

The NPPES record for Roxana Ghashghaei was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.