=====================================================
General NPI Number Information
=====================================================
NPI Number | 1871417188
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PAYAM AFSHAR, M.D., P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/07/2026
-----------------------------------------------------
Last Update Date | 08/07/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8860 CENTER DR STE 420
-----------------------------------------------------
City | LA MESA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91942-7001
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 619-469-5400
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8860 CENTER DR STE 420
-----------------------------------------------------
City | LA MESA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91942-7001
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 619-469-5400
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | PAYAM AFSHAR
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 858-442-7999
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RG0100X
-----------------------------------------------------
Taxonomy Name | Gastroenterology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------