Active NPI
Ali M Aghamohammadi, MD
- Otolaryngology Physician
- Bakersfield, CA
National Provider Identifier
1033183157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- A41243
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A412431 | Medicaid | CA |
Other names 1
- Ali M Agha
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 |
|---|---|---|---|
| A41243 | CA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexis D Furze MD Inc | Otolaryngology | Current | 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.
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Irvine, CA
- NPI 1417227802
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.