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DR. HOTOSA EBRAHIMZADEH M.D.
NPI 1891722336
Family Medicine in San Clemente, CA

Active since June 28, 2006
150 AVENIDA CABRILLO, SUITE #A, SAN CLEMENTE, CA 92672(949) 369-6993(949) 369-6469 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Hotosa Ebrahimzadeh M.d. NPPES

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

DR. HOTOSA EBRAHIMZADEH M.D. (NPI 1891722336) is an individual family medicine provider in San Clemente, California, licensed in California (A65097) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1891722336
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HOTOSA EBRAHIMZADEHCredential: M.D.
Location Address150 AVENIDA CABRILLO, SUITE #ASan Clemente, CA 92672
Mailing Address150 Avenida Cabrillo, Suite #aSan Clemente, CA 92672 · (949) 369-6993 · Fax (949) 369-6469
Phone(949) 369-6993
Fax(949) 369-6469
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1891722336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A65097
Definition
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.
150 AVENIDA CABRILLO, San Clemente, CA 92672
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Other Identifiers 4

Medicare UPINH06169CA
OtherA65157CA · License
Medicaid00A65070CA
Medicare ID-Type UnspecifiedWA65097ACA · Medicare #1c

Other Providers at the Same Location NPPES 3

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

KRISTIN M MASSAMIRI
Physical Therapist
150 AVENIDA CABRILLO, SUITE B
SAN CLEMENTE, CA 92672
Orange County (949) 498-8312
MRS. KRISTIN MASSAMIRI MPT, ATC
Physical Therapist
150 AVENIDA CABRILLO, SUITE B
SAN CLEMENTE, CA 92672
Orange County (949) 498-8312
WHEENK LLC
Physical Therapist
150 AVENIDA CABRILLO, SUITE B
SAN CLEMENTE, CA 92672
Orange County (949) 498-8312

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 Hotosa Ebrahimzadeh's NPI number?

The NPI number for Hotosa Ebrahimzadeh is 1891722336. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Hotosa Ebrahimzadeh located?

Hotosa Ebrahimzadeh practices at 150 Avenida Cabrillo Suite #a, San Clemente, CA 92672. The listed phone number is (949) 369-6993.

What is Hotosa Ebrahimzadeh's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Hotosa Ebrahimzadeh was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.