Individual provider Active NPI

Alireza Abidi, M.D.

  • Gynecologic Oncology Physician
  • Sacramento, CA
National Provider Identifier
1215919477
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
A90381 Issued in CA
Practice address
4860 Y St
OB/GYN, Suite 2500
Sacramento, CA 95817-2307
Phone
(916) 734-6930
Fax
(916) 734-6666
NPI assigned
Nov 15, 2005
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X A90381 CA Primary

Addresses

Primary practice location

4860 Y St
OB/GYN, Suite 2500
Sacramento, CA 95817-2307

Mailing address

4860 Y St
OB/GYN, Suite 2500
Sacramento, CA 95817-2307
Phone (916) 734-6930

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
I20050811001138 CA Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 5698704344 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological OncologyAlso: Obstetrics/Gynecology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Obstetrics and Gynecology Medical Group IncGroup PAC ID 7113911470, 10 clinicians

Practice addresses (Care Compare)

400 N Pepper Ave
2Mob206
Colton, CA 92324-1801
Phone (909) 580-2270

4500 Brockton Ave
Suite 107
Riverside, CA 92501-4006
Phone (951) 276-2760

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A90381CAMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Obstetrics & Gynecology Medical Group, Inc. CurrentSince Dec 14, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 4, 2008 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 4, 2008 Accepting new patients
Los Angeles Hematology-Oncology Medical Group CurrentSince Dec 1, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 4, 2008 Accepting new patients
Los Angeles Hematology-Oncology Medical Group CurrentSince Dec 1, 2024 Accepting new patients
Los Angeles Cardiology Associates Past Accepting new patients
Micha, Rettenmaier, Brown & Lacey a California Partnership Gynecologic Oncology Past Accepting new patients

Locations

1211 W La Palma Ave
Ste 103
Anaheim, CA 92801
Phone (714) 535-3660

1801 W Romneya Dr
Ste 203
Anaheim, CA 92801
Phone (714) 999-1465

300 S Harbor Blvd
Ste 600
Anaheim, CA 92805
Phone (714) 978-7488

5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088

400 N Pepper Ave
#2
Colton, CA 92324
Phone (909) 387-8205

260 E Ontario Ave
Ste 101
Corona, CA 92879
Phone (951) 268-7746

11180 Warner Ave
Ste 351
Fountain Vly, CA 92708
Phone (714) 210-2300

1505 Wilson Ter
Ste 150
Glendale, CA 91206
Phone (818) 275-4759

1505 Wilson Ter
Ste 200
Glendale, CA 91206
Phone (818) 243-0477

23961 Calle de la Magdalena
Ste 501
Laguna Hills, CA 92653
Phone (714) 698-0300

790 E Willow St
Ste 100
Long Beach, CA 90806
Phone (562) 595-4014

1245 Wilshire Blvd
Ste 303
Los Angeles, CA 90017
Phone (213) 977-1214

393 E Walnut St
Pasadena, CA 91188
Phone (626) 405-7914

1910 Royalty Dr
Pomona, CA 91767
Phone (909) 630-7205

350 Vinton Ave
Ste 101
Pomona, CA 91767
Phone (909) 620-5502

101 E Redlands Blvd
Ste 106
Redlands, CA 92373
Phone (818) 484-8611

255 Terracina Blvd
Ste 202
Redlands, CA 92373
Phone (909) 748-6065

10800 Magnolia Ave
Riverside, CA 92505
Phone (951) 353-2000

4500 Brockton Ave
Ste 107
Riverside, CA 92501
Phone (951) 276-2760

1255 W Arrow Hwy
San Dimas, CA 91773
Phone (909) 394-2526

23600 Telo Ave
Ste 250
Torrance, CA 90505
Phone (310) 375-8446

15211 Vanowen St
Ste 201
Van Nuys, CA 91405
Phone (818) 574-3798

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: aabidi871513@direct.memorialcare.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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 2

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1215919477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 Y ST",
            "address_2": "OB/GYN, SUITE 2500",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-6930",
            "fax_number": "916-734-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 Y ST",
            "address_2": "OB/GYN, SUITE 2500",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172307",
            "telephone_number": "916-734-6930",
            "fax_number": "916-734-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABIDI",
        "first_name": "ALIREZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "CA",
            "license": "A90381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "10800 Magnolia Ave",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925053043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.