Individual provider Active NPI

Ali M Aghamohammadi, MD

  • Otolaryngology Physician
  • Bakersfield, CA
National Provider Identifier
1033183157
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A41243 Issued in CA
Practice address
2323 16TH Street
101
Bakersfield, CA 93301-3453
Phone
(661) 324-3232
Fax
(661) 324-1236
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A41243 CA Primary

Addresses

Primary practice location

2323 16TH Street
101
Bakersfield, CA 93301-3453

Mailing address

2323 16TH Street
101
Bakersfield, CA 93301-3453
Phone (661) 324-3232

Other identifiers 1

IdentifierTypeStateIssuer
00A412431MedicaidCA

Other names 1

  • Ali M Agha Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040625000820 CA Practitioner - Otolaryngology 3274519012 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A41243CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alexis D Furze MD Inc Otolaryngology CurrentSince Jul 19, 2019 Accepting new patients

Locations

520 Superior Ave
Ste 270
Newport Beach, CA 92663
Phone (714) 919-9043

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1033183157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 16TH STREET",
            "address_2": "101",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013453",
            "telephone_number": "661-324-3232",
            "fax_number": "661-324-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 16TH STREET",
            "address_2": "101",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013453",
            "telephone_number": "661-324-3232",
            "fax_number": "661-324-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGHAMOHAMMADI",
        "first_name": "ALI",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A41243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A412431",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALI",
            "last_name": "AGHA",
            "middle_name": "M",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.