NPIMap

Individual provider Active NPI

Ali R Namazie, MD

  • Otolaryngology Physician
  • Encino, CA
National Provider Identifier
1184603102
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A60291 Issued in CA
Practice address
16661 Ventura Blvd Ste 226
Encino, CA 91436-1947
Phone
(818) 986-5500
Fax
(818) 986-5503
NPI assigned
Jan 10, 2006
Last updated
Feb 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A60291 CA Primary

Addresses

Primary practice location

16661 Ventura Blvd Ste 226
Encino, CA 91436-1947

Mailing address

4955 Van Nuys Blvd
#505
Sherman Oaks, CA 91403-5436
Phone (818) 986-5500

Other identifiers 2

IdentifierTypeStateIssuer
00A602910OtherCABLUE SHIELD
00A602910MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@drnamazie.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050916000284 CA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 8022054402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
University of California, Geffen School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16661 Ventura Blvd
Suite 226
Encino, CA 91436-1947
Phone (818) 986-5500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A60291CAMDOtolaryngology Physician
16645CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Surgical Associates Otolaryngology PastSince Jul 1, 2005 Accepting new patients
Laszlo Z. Galffy, MD Inc Past Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1184603102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 VAN NUYS BLVD",
            "address_2": "#505",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035436",
            "telephone_number": "818-986-5500",
            "fax_number": "818-986-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD STE 226",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361947",
            "telephone_number": "818-986-5500",
            "fax_number": "818-986-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMAZIE",
        "first_name": "ALI",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A60291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A602910",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A602910",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@drnamazie.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16661 Ventura Blvd Ste 226",
            "city": "Encino",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914361947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.