Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ehsan Ghetmiri, MD

Individual provider Internal Medicine Physician · NPI 1083908396

Dr. Ehsan Ghetmiri, MD is an Internal Medicine in Fullerton, California. Qualified in 2005, 21 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
21
Licensed in
CA
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

101 E Valencia Mesa Dr
Fullerton, CA 92835-3809
Phone: (714) 992-3969
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11 Technology Dr, Irvine, CA 92618-2302 — (855) 206-6764

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence A127383 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A127383 (CA)

Record details

NPI number1083908396
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 3, 2011
Last updated in NPPESJanuary 23, 2024
Certification dateJanuary 23, 2024
Mailing address11 Technology Dr, Irvine, CA 92618-2302

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fullerton