Active NPI
Mohammad Ali Ansari, M.D.
- Pulmonary Disease Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- G75046
- Practice address
- 6310 San Vicente Blvd
Suite 280
Los Angeles, CA 90048-5426 - Phone
- (323) 934-9265
- Fax
- (323) 934-9266
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | G75046 | CA | Primary |
Addresses
Primary practice location
6310 San Vicente Blvd
Suite 280
Los Angeles, CA 90048-5426
Mailing address
PO Box 935
Beverly Hills, CA 90213-0935
Phone (310) 433-2750
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G750460 | Medicaid | CA | |
| 20-2917859 | Other | CA | FEDERAL TAX I.D. NUMBER |
| G75046 | Other | CA | LICENSE NUMBER |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- University of California, Irvine, California College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
6310 San Vicente Blvd
Suite 280
Los Angeles, CA 90048-5426
6310 San Vicente Blvd
Suite 280
Los Angeles, CA 90048-5454
Phone (323) 934-9265
Hospital & facility affiliations
- Cedars-Sinai Medical Center
- Ronald Reagan UCLA Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 83.82
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G75046 | CA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M. Ali Ansari, M.D. Inc. | Pulmonary Disease | Current | Accepting new patients |
| RGS Medical Group Inc | Pulmonary Disease | Past | Accepting new patients |
| Horizon Sleep Medicine Services, Inc | Pulmonary Disease | Past | Accepting new patients |
Locations
6310 San Vicente Blvd
Ste 280
Los Angeles, CA 90048
Phone (323) 934-9262
Organizations & group practices 3
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.
-
- Pulmonary Disease Physician
- Los Angeles, CA
- NPI 1952409393
-
- Pulmonary Disease Physician
- Los Angeles, CA
- NPI 1235239336
-
- Pulmonary Disease Physician
- Beverly Hills, CA
- NPI 1912953167
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369785600000",
"number": "1164520581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 935",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902130935",
"telephone_number": "310-433-2750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6310 SAN VICENTE BLVD",
"address_2": "SUITE 280",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485426",
"telephone_number": "323-934-9265",
"fax_number": "323-934-9266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANSARI",
"first_name": "MOHAMMAD",
"middle_name": "ALI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2013-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "G75046",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G750460",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX I.D. NUMBER",
"identifier": "20-2917859",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "G75046",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.