Individual provider Active NPI

Ali M Alinejad

  • General Practice Physician
  • San Diego, CA
National Provider Identifier
1245679539
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A50193 Issued in CA
Practice address
13005 Harwick LN
San Diego, CA 92130-3708
Phone
(858) 874-2400
Fax
(858) 509-3696
NPI assigned
Jun 19, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A50193 CA Primary

Addresses

Primary practice location

13005 Harwick LN
San Diego, CA 92130-3708

Mailing address

13005 Harwick LN
San Diego, CA 92130-3708
Phone (858) 874-2400

Other names 1

  • Mohammad Ali Alinezhad Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A50193CAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1245679539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13005 HARWICK LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303708",
            "telephone_number": "858-874-2400",
            "fax_number": "858-509-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13005 HARWICK LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303708",
            "telephone_number": "858-874-2400",
            "fax_number": "858-509-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALINEJAD",
        "first_name": "ALI",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A50193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHAMMAD",
            "last_name": "ALINEZHAD",
            "middle_name": "ALI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.