Individual provider Active NPI

Mohammad Ali Ansari, M.D.

  • Pulmonary Disease Physician
  • Los Angeles, CA
National Provider Identifier
1164520581
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G75046 Issued in CA
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

Updated by the provider on May 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G750460MedicaidCA
20-2917859OtherCAFEDERAL TAX I.D. NUMBER
G75046OtherCALICENSE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050909000712 CA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Sleep Medicine 2668404815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Sleep Medicine
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 Hospital, Los Angeles, CA, CCN 050625
  • Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
83.82
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G75046CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M. Ali Ansari, M.D. Inc. Pulmonary Disease CurrentSince May 20, 2005 Accepting new patients
RGS Medical Group Inc Pulmonary Disease PastSince Apr 1, 2002 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.