Individual provider Active NPI

Ali Doctor Forootan, MD

  • Diagnostic Radiology Physician
  • Irvine, CA
National Provider Identifier
1184687816
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
C135342 Issued in CA
Practice address
21 Gramercy Unit 403
Irvine, CA 92612-0013
Phone
(214) 680-1490
Fax
(949) 679-2730
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X C135342 CA Primary

Addresses

Primary practice location

21 Gramercy Unit 403
Irvine, CA 92612-0013

Mailing address

21 Gramercy Unit 403
Irvine, CA 92612-0013
Phone (214) 680-1490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C135342CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mammography Parnters LLC Past Accepting new patients
Ben-Ora, Hansen, & Vanesian Imaging Past Accepting new patients
Banner Imaging Associates PLC Single Specialty Past Accepting new patients
Ben-Ora Hansen & Vanesian Imaging LTD Single Specialty PastSince Sep 15, 2024 Accepting new patients
Simonmed Imaging, Incorporated Single Specialty Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1184687816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GRAMERCY UNIT 403",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926120013",
            "telephone_number": "214-680-1490",
            "fax_number": "949-679-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GRAMERCY UNIT 403",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926120013",
            "telephone_number": "214-680-1490",
            "fax_number": "949-679-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOROOTAN",
        "first_name": "ALI",
        "middle_name": "DOCTOR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C135342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.