Individual provider Active NPI

Ali Reza Moattari, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Newport Beach, CA
National Provider Identifier
1265487581
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A46696 Issued in CA
Practice address
1441 Avocado Ave
Suite 807
Newport Beach, CA 92660-7721
Phone
(949) 706-7706
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35051579 OH
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A46696 CA Primary

Addresses

Primary practice location

1441 Avocado Ave
Suite 807
Newport Beach, CA 92660-7721

Mailing address

1441 Avocado Ave
Suite 807
Newport Beach, CA 92660-7721
Phone (949) 706-7706

Other identifiers 1

IdentifierTypeStateIssuer
0713008MedicaidOH

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
I20080116000826 CA Practitioner - EndocrinologyPractitioner - Internal Medicine 5991886889 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1441 Avocado Ave
Suite 502
Newport Beach, CA 92660-7706
Phone (949) 706-7706

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
18.59 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
61.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35051579OHMDSpecialist
A46696CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UC Regents Endocrinology, Diabetes & Metabolism CurrentSince Nov 1, 2007 Accepting new patients
UC Regents CurrentSince Nov 1, 2007 Accepting new patients
A Reza Moattari MD Inc. Endocrinology, Diabetes & Metabolism CurrentSince Aug 1, 2008 Accepting new patients
UC Regents Current Accepting new patients
UC Regents Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
University of California Irvine Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

1441 Avocado Ave
Ste 807
Newport Beach, CA 92660
Phone (949) 650-5155

1441 Avocado Ave
Ste 502
Newport Beach, CA 92660
Phone (267) 456-5066

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

101 The City Dr S
#1
Orange, CA 92868
Phone (714) 456-7011

101 The City Dr S
Bldg 1
Orange, CA 92868
Phone (714) 456-2911

101 The City Dr S
Bldg 30
Orange, CA 92868
Phone (714) 456-6966

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227657600000",
    "number": "1265487581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE",
            "address_2": "SUITE 807",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607721",
            "telephone_number": "949-706-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE",
            "address_2": "SUITE 807",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607721",
            "telephone_number": "949-706-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOATTARI",
        "first_name": "ALI",
        "middle_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35051579",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A46696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0713008",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.