Individual ProviderShayan SenaatiFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1170 Baker St Ste H1, Costa Mesa, CA 92626-4165(949) 791-3250(310) 606-0077PECOS EnrollmentBased on the most recent information from CMS, provider Shayan Senaati 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 yesterday at 4:18 PM.Profile DetailsProvider ID1083288625Provider TypeIndividualFull NameSenaati, ShayanCredentialDOGenderMaleSole ProprietorNoEnumeration Date5/18/2021Last Updated9/9/2024Contact InformationPractice LocationPractice Address1170 Baker St Ste H1, Costa Mesa, CA 92626-4165Phone(949) 791-3250FaxUnlisted FaxMailing LocationMailing Address2941 Corte Portofino, Newport Beach, CA 92660-3245Phone(310) 606-0077FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense20A21028California