Ali Reza Rafatjoo, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A54980 Issued in CA

Practice address

360 San Miguel Dr
Suite 206
Newport Beach, CA 92660-7853

Phone

(949) 640-4455

Fax

(949) 640-4456

NPI assigned

Jul 21, 2006

Last updated

Mar 2, 2021By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, TN2 enrollments

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 2

Specialty

Family Practice

Education

University of California, Irvine, California College of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lori J Izabal M D a Professional CorporationGroup PAC ID 2769486125, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hoag Home Health Home health agency, Newport Beach, CA, CCN 557412
• Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ali.rafatjoo.1@4870.direct.athenahealth.com

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.

• Lori J Izabal M D a Professional Corporation

  • Primary Care Clinic/Center
  • Newport Beach, CA
  • NPI 1952325532

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Vanderbilt Health and Williamson Medical Center Clinics and Services,

  • Internal Medicine Physician
  • Franklin, TN
  • NPI 1225135551
  Medicare reassignment NPD
• Vanderbilt University Medical Center

  dba Vanderbilt Medical Group

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1104202761

  Family Medicine

  Medicare reassignment NPD
• Kimiko Snider,M.D.,Inc

  • Family Medicine Physician
  • Newport Beach, CA
  • NPI 1083450530
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hoag Home Health LLC

  • Home Health Agency
  • Newport Beach, CA
  • NPI 1174192892
  Care Compare affiliation
• Hoag Memorial Hospital Presbyterian

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1518951300
  Care Compare affiliation

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1154341907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR",
            "address_2": "SUITE 206",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607853",
            "telephone_number": "949-640-4455",
            "fax_number": "949-640-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR",
            "address_2": "SUITE 206",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607853",
            "telephone_number": "949-640-4455",
            "fax_number": "949-640-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFATJOO",
        "first_name": "ALI",
        "middle_name": "REZA",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A54980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A054980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rad Kids Occupational Therapy Inc.
• Babak N. Rad, M.D.
• Negar Rad
• Radin Cardiovascular Medical Group Inc
• Michael M Radin, M.D.
• Gabor Raffay, PT
• Raffi V Hovsepian MD Inc
• Farah Ragan
• Shahla P Rah, M.D.
• Behzad Burt Rahavi, M.D.

• Family Medicine Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.