Emerald Shores Psychological Professional Corporation
NPI 1003453804ActiveOrganization· Psychologist, Clinical· Mission Viejo, CA
Psychologist, Clinical in Mission Viejo, California, registered in NPPES in November 2019. The authorized official on file is Payam Jafari, ED.D., Psychologist.
Overview
| NPI | 1003453804 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 30, 2019 |
| Last updated in NPPES | Aug 17, 2024 |
| Certified by provider | Aug 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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