Individual ProviderSaghi RokhshadfarInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address23512 Madero, Mission Viejo, CA 92691-2743(949) 583-1600(657) 241-3592PECOS EnrollmentBased on the most recent information from CMS, provider Saghi Rokhshadfar is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1376573253Provider TypeIndividualFull NameRokhshadfar, SaghiTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date7/4/2006Last Updated10/11/2018Contact InformationPractice LocationPractice Address23512 Madero, Mission Viejo, CA 92691-2743Phone(949) 583-1600Fax(949) 454-8067Mailing LocationMailing Address17360 Brookhurst Street, Attn: Credentialing Department, Fountain Valley, CA 92708-3720Phone(657) 241-3592Fax(714) 665-4614Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA76664CaliforniaProvider IdentifiersIDDescriptionIssuerID00A766640DescriptionMedicaidIssuerUnlistedCalifornia