Individual provider Active NPI

Ardeshir Karimi, MD

  • Maternal & Fetal Medicine Physician
  • San Gabriel, CA
National Provider Identifier
1215036215
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
A50980 Issued in CA
Practice address
207 S Santa Anita St Ste 338
San Gabriel, CA 91776-1160
Phone
(626) 282-9250
Fax
(626) 282-9953
NPI assigned
Sep 22, 2006
Last updated
Nov 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X A50980 CA
Obstetrics & Gynecology Physician 207V00000X A50980 CA
Maternal & Fetal Medicine Physician 207VM0101X A50980 CA Primary

Addresses

Primary practice location

207 S Santa Anita St Ste 338
San Gabriel, CA 91776-1160

Mailing address

207 S Santa Anita St Ste 338
San Gabriel, CA 91776-1160
Phone (626) 282-9250

Other identifiers 1

IdentifierTypeStateIssuer
6727433MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL endpoint-example.html

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
A50980CAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maternal Fetal Medicine Medical Group of Southern California Medical Genetics, PH.D. Medical Genetics PastSince Nov 20, 2022 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHCJDD/Endpoint/DHCJDD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1215036215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S SANTA ANITA ST STE 338",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761160",
            "telephone_number": "626-282-9250",
            "fax_number": "626-282-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S SANTA ANITA ST STE 338",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761160",
            "telephone_number": "626-282-9250",
            "fax_number": "626-282-9953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARIMI",
        "first_name": "ARDESHIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "CA",
            "license": "A50980",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A50980",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "A50980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6727433",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "endpoint-example.html",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "207 S Santa Anita St Ste 338",
            "city": "San Gabriel",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917761160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.