Active NPI
Amirali Shakouripartovi, MD
- Surgery Physician
- Tacoma, WA
National Provider Identifier
1013563741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD60611578
- Practice address
- 801 Pacific Ave
Tacoma, WA 98402-5209 - Phone
- (253) 627-1001
- NPI assigned
- Aug 19, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD60611578 | WA | Primary |
Addresses
Primary practice location
801 Pacific Ave
Tacoma, WA 98402-5209
Mailing address
7225 Crescent Park W Apt 203
Playa Vista, CA 90094-2719
Phone (425) 623-2701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60611578 | WA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aesthetica Clinique LLC | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients |
Locations
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
801 Pacific Ave
Tacoma, WA 98402
Phone (229) 589-2588
Interoperability endpoints
- ashakouripartovi140015@santaclaravalley.direct-ci.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Plastic Surgery Physician
- Tacoma, WA
- NPI 1508824293
-
- Anesthesiology Physician
- San Jose, CA
- NPI 1588721500
-
- Pharmacy
- San Jose, CA
- NPI 1891871919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566172800000",
"number": "1013563741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7225 CRESCENT PARK W APT 203",
"city": "PLAYA VISTA",
"state": "CA",
"postal_code": "900942719",
"telephone_number": "425-623-2701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 PACIFIC AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984025209",
"telephone_number": "253-627-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAKOURIPARTOVI",
"first_name": "AMIRALI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-19",
"last_updated": "2019-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD60611578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.