Individual
DR. PAYAM AFSHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8860 CENTER DR STE 420, LA MESA, CA 91942-7001
(619) 469-5400
(619) 464-1311
Mailing address
8860 CENTER DR STE 420, LA MESA, CA 91942-7001
(619) 469-5400
(619) 464-1311
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A95089
CA
207RG0100X
Gastroenterology Physician
Primary
A95089
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A950890
BLUE SHIELD OF CA
CA
05
—
00A950890
—
CA
01
—
F933
CHAMPUS
—
01
—
P00728618
RAILROAD MEDICARE
CA
Enumeration date
10/25/2006
Last updated
03/12/2026
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