Alexander Ghobadimanesh, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

20A17207 Issued in CA

Practice address

30211 Avenida de Las Bandera Ste 200
Rancho Santa Margarita, CA 92688-2159

Phone

(949) 490-6362

Fax

(650) 590-4938

NPI assigned

May 25, 2015

Last updated

Apr 13, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/scharpca/r4/

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.

• Barbour & Floyd Medical Associates

  • Community/Behavioral Health Agency
  • Lynwood, CA
  • NPI 1780713420
  NPD (past)
• Kevin Kinback

  dba AdvancedTMS Center

  • Psychiatry Physician
  • Ladera Ranch, CA
  • NPI 1912324443
  NPD (past)
• Southern California Health & Rehabilitation Program

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1083743082
  NPD (past)
• Southern California Health & Rehabilitation Program

  • Community/Behavioral Health Agency
  • Lynwood, CA
  • NPI 1467775221
  NPD (past)

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

{
    "created_epoch": "1432512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1043699929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28081 MARGUERITE PKWY UNIT 2564",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926901828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30211 AVENIDA DE LAS BANDERA STE 200",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882159",
            "telephone_number": "949-490-6362",
            "fax_number": "650-590-4938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3850 Crenshaw Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900081821",
            "country_code": "US",
            "telephone_number": "323-593-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2640 Industry Way Ste B",
            "address_purpose": "LOCATION",
            "city": "Lynwood",
            "state": "CA",
            "postal_code": "902624285",
            "country_code": "US",
            "telephone_number": "310-627-4525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHOBADIMANESH",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-25",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E-11167",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A17207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Gentry, D.C.
• Jack George, D.D.S.
• Shiva Genevieve Ghaed, PH.D.
• Mehrdad Ghaffarian, LAC., PHD.
• Sarah M Ghale, PT
• Laura D'Aquila Gilliland
• Matthew Goda, DC
• Margaret Elizabeth Goldenstein, CATC I
• Yolanda P Gomez, MD
• Gwendolyn S Gore, MD

• Psychiatry Physician in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.