Active NPI
Ali Asghar Behzadnia, MD FACP
- Endocrinology, Diabetes & Metabolism Physician
- Costa Mesa, CA
National Provider Identifier
1245318088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- A39541
- Practice address
- 275 Victoria St
#2J
Costa Mesa, CA 92627 - Phone
- (949) 650-0630
- Fax
- (949) 650-3754
- NPI assigned
- Nov 1, 2006
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | A39541 | CA | Primary |
Addresses
Primary practice location
275 Victoria St
#2J
Costa Mesa, CA 92627
Mailing address
275 Victoria St
#2J
Costa Mesa, CA 92627
Phone (949) 650-0630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A395410 | Medicaid | CA |
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 |
|---|---|---|---|---|
| I20040319000511 | CA | Practitioner - Endocrinology | 4587554753 | Practice locations: Costa Mesa, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A39541 | CA | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew M. DO. DPM a Proffesional Corporation | Past | Accepting new patients | |
| Hoag Memorial Hospital Presbyterian | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- Podiatrist
- Costa Mesa, CA
- NPI 1255478129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245318088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 VICTORIA ST",
"address_2": "#2J",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "92627",
"telephone_number": "949-650-0630",
"fax_number": "949-650-3754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 VICTORIA ST",
"address_2": "#2J",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "92627",
"telephone_number": "949-650-0630",
"fax_number": "949-650-3754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEHZADNIA",
"first_name": "ALI",
"middle_name": "ASGHAR",
"credential": "MD FACP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "CA",
"license": "A39541",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A395410",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.