Individual provider Active NPI

Ali Jamshidi, M.D

  • Internal Medicine Physician
  • Honolulu, HI
National Provider Identifier
1154438372
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD13375 Issued in HI
Practice address
201 Ohua Ave
Tower 2 Apt 1909
Honolulu, HI 96815-3653
Phone
(646) 345-9452
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD13375 HI Primary

Addresses

Primary practice location

201 Ohua Ave
Tower 2 Apt 1909
Honolulu, HI 96815-3653

Mailing address

201 Ohua Ave
Tower 2 Apt 1909
Honolulu, HI 96815-3653
Phone (646) 345-9452

Other identifiers 6

IdentifierTypeStateIssuer
00 B 0253811OtherHIKUAKINI HOSPITAL
57079801MedicaidHI
0000253815OtherHISAINT FRANCIS WEST HOSPIT
57079803MedicaidHI
00A0253813OtherHISAINT FRANCIS LILIHA
57079802MedicaidHI

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
I20130717000592 CA Practitioner - Internal MedicinePractitioner - Hospitalist 0941227359 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Hospitalist Network Medical Group IncGroup PAC ID 8921990110, 76 clinicians

Practice addresses (Care Compare)

625 The City Dr S
Suite 320
Orange, CA 92868-4978
Phone (714) 202-2330

Hospital & facility affiliations

  • Huntington Hospital Hospital, Pasadena, CA, CCN 050438

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD13375HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lodi Memorial Hospital Association, Inc Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Oct 31, 2016 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Apr 20, 2022 Accepting new patients
Lodi Memorial Hospital Association Inc CurrentSince Aug 6, 2017 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Oct 15, 2022 Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Oct 31, 2016 Accepting new patients
Southern California Hospitalist Network Medical Group Inc Internal Medicine CurrentSince Feb 1, 2023 Accepting new patients
Richard P Carr Physical Therapy Inc Past Accepting new patients
Peninsula Hospitalist Associates, Inc. Internal Medicine Past Accepting new patients
Staten Island Hospitalists, PC Internal Medicine Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

450 E Huntington Dr
Arcadia, CA 91006
Phone (626) 254-2100

440 E Huntington Dr
Arcadia, CA 91006
Phone (626) 254-2293

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

625 The City Dr S
Ste 320
Orange, CA 92868
Phone (714) 202-2330

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

Organizations & group practices 12

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1154438372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 OHUA AVE",
            "address_2": "TOWER 2 APT 1909",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968153653",
            "telephone_number": "646-345-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 OHUA AVE",
            "address_2": "TOWER 2 APT 1909",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968153653",
            "telephone_number": "646-345-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMSHIDI",
        "first_name": "ALI",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD13375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KUAKINI HOSPITAL",
            "identifier": "00 B 0253811",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57079801",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAINT FRANCIS WEST HOSPIT",
            "identifier": "0000253815",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57079803",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAINT FRANCIS LILIHA",
            "identifier": "00A0253813",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57079802",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.