NPIMap

Individual provider Active NPI

Alidad M. Zadeh, D.O.

  • Internal Medicine Physician
  • El Centro, CA
National Provider Identifier
1013154400
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A10575 Issued in CA
Practice address
1600 S. Imperial Ave
Ste #3
El Centro, CA 92243
Phone
(760) 339-2802
Fax
(760) 355-9520
NPI assigned
Jan 7, 2009
Last updated
Oct 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A10575 CA Primary

Addresses

Primary practice location

1600 S. Imperial Ave
Ste #3
El Centro, CA 92243

Mailing address

516 West Aten Road
Suite 2
Imperial, CA 92251
Phone (760) 355-7730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090303000044 CA Practitioner - Internal MedicinePractitioner - Family Practice 7214093079 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

125 S 5TH St
Brawley, CA 92227-2408
Phone (760) 344-8100

1503 N Imperial Ave
Suite 201
El Centro, CA 92243-6302
Phone (760) 890-6200

1600 S Imperial Ave
El Centro, CA 92243-4242

516 W Aten Rd
Imperial, CA 92251-9805

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A10575CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Valley Family Care Medical Group Apc CurrentSince Nov 1, 2017 Accepting new patients
24 On Physicians of California, PC CurrentSince Jul 2, 2019 Accepting new patients
Imperial Valley Family Care Medical Group, Apc CurrentSince Nov 1, 2017 Accepting new patients
Alidad Zadeh DO, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine Past Accepting new patients
Cogent Healthcare of California, PC Internal Medicine Past Accepting new patients
Cogent Healthcare of California, PC Internal Medicine Past Accepting new patients
Hospitalist Medicine Physicians of Imperial County, Inc.. Internal Medicine Past Accepting new patients

Locations

125 S 5th St
Brawley, CA 92227
Phone (760) 344-8100

207 W Legion Rd
Brawley, CA 92227
Phone (760) 351-3333

1415 Ross Ave
El Centro, CA 92243
Phone (760) 339-4045

1600 S Imperial Ave
Ste 3
El Centro, CA 92243
Phone (760) 335-3545

1600 S Imperial Ave
Ste 5
El Centro, CA 92243
Phone (442) 283-5861

516 W Aten Rd
Ste 2
Imperial, CA 92251
Phone (760) 355-7730

250 E Yale Loop
Ste E
Irvine, CA 92604
Phone (323) 698-2749

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HHBABA/Endpoint/HHBABA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Imperial Valley Family Care Medical Group a P CBrawley, CA, CCN 058984 Rural health clinic 5% Or Greater Direct Ownership Interest Mar 5, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1013154400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 WEST ATEN ROAD",
            "address_2": "SUITE 2",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "92251",
            "telephone_number": "760-355-7730",
            "fax_number": "760-355-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S. IMPERIAL AVE",
            "address_2": "STE #3",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "92243",
            "telephone_number": "760-339-2802",
            "fax_number": "760-355-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZADEH",
        "first_name": "ALIDAD",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-07",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A10575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

Verify at the official NPI Registry.