Alireza Bozorgi MD PC

Primary specialty

Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X

Legal business name

ALIREZA BOZORGI MD PC

Practice address

1901 E 4TH St Ste 210
Santa Ana, CA 92705-3918

Phone

(714) 542-5999

NPI assigned

Jul 19, 2024

Last updated

Jul 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alireza Bozorgi, MDNPI 1508109018

Title

Owner

Phone

(216) 394-1927

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alireza Bozorgi, M.D.,

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Tustin, CA
  • NPI 1508109018

  Epilepsy

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1073351326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SANDSTONE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 E 4TH ST STE 210",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053918",
            "telephone_number": "714-542-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIREZA BOZORGI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "BOZORGI",
        "authorized_official_first_name": "ALIREZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-394-1927",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Psychiatry & Neurology) Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Pain Medicine (Psychiatry & Neurology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.