Individual provider Active NPI

Ali Amirzadeh, M.D.

  • Allergy & Immunology Physician
  • Sacramento, CA
National Provider Identifier
1083748685
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A85206 Issued in CA
Practice address
3000 Q St FL 2
Sacramento, CA 95816-7058
Phone
(916) 733-3303
Fax
(916) 733-5383
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X MD60134912 WA
Internal Medicine Physician 207R00000X A85206 CA
Allergy & Immunology Physician 207K00000X A85206 CA Primary

Addresses

Primary practice location

3000 Q St FL 2
Sacramento, CA 95816-7058

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

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
I20050913000920 CA Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 8224061072 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Medical University of South Carolina College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jiva Health IncGroup PAC ID 5092115105, 46 clinicians

Practice addresses (Care Compare)

1145 Whiskeytown CT
Suite a
Redding, CA 96001-0227
Phone (925) 685-4224

1620 Pennsylvania Ave
Suite B
Fairfield, CA 94533-3509
Phone (925) 685-4224

1860 Mowry Ave
Suite 201
Fremont, CA 94538-1730
Phone (925) 685-4224

2182 E St
Concord, CA 94520-2012
Phone (925) 685-4228

2300 Bell Executive LN
Sacramento, CA 95825-4068
Phone (925) 685-4224

2601 Nut Tree Rd
Vacaville, CA 95687-6918
Phone (925) 685-4224

5709 Market St
Suite 100
Oakland, CA 94608-2811
Phone (925) 685-4224

7 Park Ctr Dr
Suite 100
Sacramento, CA 95825-8363
Phone (925) 685-4224

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
85206CAMDClinical Social Worker
A85206CAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc Internal Medicine Current Accepting new patients
Permanente Medical Group Inc Internal Medicine CurrentSince Feb 1, 2016 Accepting new patients
Permanente Medical Group, Inc CurrentSince Feb 1, 2016 Accepting new patients
Jiva Health, Inc Allergy & Immunology CurrentSince Jul 1, 2021 Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Rem Sleep Diagnostics Vacaville, Inc. Past Accepting new patients
Northbay Healthcare Group Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

5173 Lone Tree Way
Antioch, CA 94531
Phone (925) 685-4228

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

141 Sand Creek Rd
Ste B
Brentwood, CA 94513
Phone (925) 626-7483

2182 East St
Concord, CA 94520
Phone (925) 392-4731

1620 Pennsylvania Ave
Ste B
Fairfield, CA 94533
Phone (707) 425-2002

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

87 Fenton St
Ste 100
Livermore, CA 94550
Phone (925) 373-0710

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

8303 Sierra College Blvd
Ste 109B
Roseville, CA 95661
Phone (916) 337-5502

2300 Bell Executive Ln
Sacramento, CA 95825
Phone (615) 327-6611

2001 Union St
Ste 250
San Francisco, CA 94123
Phone (415) 359-9999

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

1 Quality Dr
Vacaville, CA 95688
Phone (707) 453-5000

2601 Nut Tree Rd
Ste B
Vacaville, CA 95687
Phone (707) 446-2762

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

215 Lennon Ln
Ste 200
Walnut Creek, CA 94598
Phone (770) 365-5032

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Interoperability endpoints

  • Direct secure messaging: aamirzadeh123165@hpmg.direct-ci.net

Organizations & group practices 10

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1083748685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 Q ST FL 2",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958167058",
            "telephone_number": "916-733-3303",
            "fax_number": "916-733-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIRZADEH",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "WA",
            "license": "MD60134912",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A85206",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A85206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.