Ali Hallaj-Pour, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A103981 Issued in CA

Practice address

2191 Mowry Ave Ste 600C
Fremont, CA 94538-1702

Phone

(510) 792-4373

NPI assigned

May 21, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Alireza Halladgpour Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ahallajpour204538@direct-ucsfmedicalcenter.org

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.

• South East Bay Pediatric Med Group

  • Pediatrics Physician
  • Fremont, CA
  • NPI 1427109297
  NPD (past)

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1114184587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 MOWRY AVE STE 600C",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381702",
            "telephone_number": "510-792-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 MOWRY AVE STE 600C",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381702",
            "telephone_number": "510-792-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLAJ-POUR",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A103981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALIREZA",
            "last_name": "HALLADGPOUR",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maral Hakimian
• Madina Halim
• Kadeer M. Halimi, D.O.
• Bonnie Huang Hall, M.D. PH.D
• Lauren Hall
• Stefan Haller, M.D.
• Hallers LTC Pharmacy, Inc.
• Hallers Pharmacy and Medical Supply, Inc.
• Benjamin Warren Halligan, MD
• Eryvis J Halphen

• Pediatrics Physician in Fremont, CA
• Providers in Fremont, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.