Active NPI
Ali Ghorbanifarajzadeh, DPM
- Primary Podiatric Medicine Podiatrist
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- E5332
- Practice address
- 500 Old River Rd Ste 185
Bakersfield, CA 93311-9505 - Phone
- (661) 832-3600
- Fax
- (661) 322-6249
- NPI assigned
- Sep 21, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E5332 | CA | |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | E5332 | CA | Primary |
Addresses
Primary practice location
500 Old River Rd Ste 185
Bakersfield, CA 93311-9505
Mailing address
11325 Park Square Dr Apt D204
Bakersfield, CA 93311-8854
Phone (305) 310-8155
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1665 S Imperial Ave
Suite a
El Centro, CA 92243-4247
Phone (442) 250-1250
Hospital & facility affiliations
- Uni Care Home Care Inc
- El Centro Regional Medical Center
- Pioneers Memorial Healthcare District
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 490 |
| Removal of skin lesions | 16 |
| Removal of nail tissue | 811 |
| Removal or shaving of skin growth | 229 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E5332 | CA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central California Leg, Foot, and Ankle Center, Inc. | Foot & Ankle Surgery | Current | Accepting new patients |
| Central California Leg, Foot, and Ankle Center, Inc. | Primary Podiatric Medicine | Current | Accepting new patients |
| University Foot and Ankle Institute a Podiatric Surgical Center | Primary Podiatric Medicine | Past | Accepting new patients |
Locations
1073 Ross Ave
Ste D
El Centro, CA 92243
Phone (760) 340-1003
1665 S Imperial Ave
Ste A
El Centro, CA 92243
Phone (305) 310-8155
27462 Portola Pkwy
Ste 100
Lake Forest, CA 92610
Phone (949) 280-6497
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GJEDCD/Endpoint/GJEDCD
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.
-
- Foot & Ankle Surgery Podiatrist
- Lake Forest, CA
- NPI 1417579129
-
- Foot & Ankle Surgery Podiatrist
- El Centro, CA
- NPI 1881281038
Primary Podiatric Medicine
-
- Podiatrist
- Santa Monica, CA
- NPI 1912014986
Primary Podiatric Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- El Centro, CA
- NPI 1861409823
-
- General Acute Care Hospital
- Brawley, CA
- NPI 1184429185
-
- Home Health Agency
- El Centro, CA
- NPI 1003215518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565049600000",
"number": "1164824249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11325 PARK SQUARE DR APT D204",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933118854",
"telephone_number": "305-310-8155",
"fax_number": "661-322-6249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 OLD RIVER RD STE 185",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933119505",
"telephone_number": "661-832-3600",
"fax_number": "661-322-6249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHORBANIFARAJZADEH",
"first_name": "ALI",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-21",
"last_updated": "2019-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E5332",
"primary": false
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "CA",
"license": "E5332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.