Active NPI
Alireza Abidi, M.D.
- Gynecologic Oncology Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- A90381
- 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
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A903810 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050811001138 | CA | Practitioner - Gynecological Oncology | 5698704344 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Gynecological Oncology
- 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 IncLos Angeles Hematology-Oncology Medical Group
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
- Riverside Community Hospital
- Arrowhead Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A90381 | CA | MD | Gynecologic Oncology Physician |
Practice roles (8 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles Hematology-Oncology Medical Group | Current | Accepting new patients | |
| Valley Obstetrics & Gynecology Medical Group, Inc. | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Los Angeles Hematology-Oncology Medical Group | Current | Accepting new patients | |
| Micha, Rettenmaier, Brown & Lacey a California Partnership | Gynecologic Oncology | Past | Accepting new patients |
| Los Angeles Cardiology Associates | Past | Accepting new patients |
Locations
5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088
300 S Harbor Blvd
Ste 600
Anaheim, CA 92805
Phone (714) 978-7488
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
400 N Pepper Ave
#2
Colton, CA 92324
Phone (909) 580-2270
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 200
Glendale, CA 91206
Phone (818) 243-0477
1505 Wilson Ter
Ste 150
Glendale, CA 91206
Phone (818) 275-4759
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
350 Vinton Ave
Ste 101
Pomona, CA 91767
Phone (909) 620-5502
1910 Royalty Dr
Pomona, CA 91767
Phone (844) 400-2236
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
4500 Brockton Ave
Ste 107
Riverside, CA 92501
Phone (951) 276-2760
10800 Magnolia Ave
Riverside, CA 92505
Phone (951) 353-2000
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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- aabidi871513@direct.memorialcare.org
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 and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Colton, CA
- NPI 1144304817
CA
-
- Health Maintenance Organization
- Riverside, CA
- NPI 1316979834
CA
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
CA
-
- Non-Pharmacy Dispensing Site
- Glendale, CA
- NPI 1952516627
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Specialist
- Lancaster, CA
- NPI 1164471868
-
- Gynecologic Oncology Physician
- Torrance, CA
- NPI 1912925611
Gynecologic Oncology
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A903810",
"state": "CA"
}
],
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.