Individual provider Active NPI

Alireza Rezapour, M.D

  • Internal Medicine Physician
  • Concord, CA
National Provider Identifier
1043370224
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A52542 Issued in CA
Practice address
2000 Sierra Road
Concord, CA 94518
Phone
(925) 363-2000
Fax
(925) 363-2006
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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 A52542 CA Primary

Addresses

Primary practice location

2000 Sierra Road
Concord, CA 94518

Mailing address

PO Box 22210
Oakland, CA 94623-2210
Phone (510) 535-4000

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
I20051101000374 CA Practitioner - Internal MedicinePractitioner - Other (Physician) 2567489305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South County Community Health Center IncGroup PAC ID 3577474634, shared by 4 NPIs, 20 clinicians

Practice addresses (Care Compare)

1796 Bay Rd
BLDG 2
East Palo Alto, CA 94303-1611

Hospital & facility affiliations

  • El Camino Health Hospital, Mountain View, CA, CCN 050308

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52542CAMDGeneral Practice Dentistry
A52542CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Clinica de la Raza Inc Current Accepting new patients
John Muir Physician Network CurrentSince Sep 19, 2015 Accepting new patients
Northbay Healthcare Group Past Accepting new patients
Northbay Healthcare Group Past Accepting new patients
Ali Rezapour, M.D., Inc. PastSince Aug 1, 2005 Accepting new patients
Heu Medical Group, Inc. Past Accepting new patients

Locations

2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112

1450 Treat Blvd
Ste 160
Walnut Creek, CA 94597
Phone (925) 296-9000

Interoperability endpoints

  • Direct secure messaging: arezapour768577@direct.ochin.org
  • Direct secure messaging: alireza.rezapour.p1@direct.cmcentersinc.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1043370224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22210",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946232210",
            "telephone_number": "510-535-4000",
            "fax_number": "510-535-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SIERRA ROAD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "94518",
            "telephone_number": "925-363-2000",
            "fax_number": "925-363-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZAPOUR",
        "first_name": "ALIREZA",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2021-02-12",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A52542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.