Alireza Ghamgosar, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4346 Issued in CA

Practice address

120 Saint Matthews Ave Ste a
San Mateo, CA 94401-3088

Phone

(650) 242-1689

Fax

(650) 477-2162

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.2 of 100Reported as individual

Quality

90.54

Promoting interoperability

98

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aghamgosar45922@hisp.ehr.sutterhealth.org

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.

• Peninsula Foot & Ankle Center Corp

  • Foot & Ankle Surgery Podiatrist
  • San Mateo, CA
  • NPI 1346646197
  Medicare reassignment NPD Authorized official
• Mills-Peninsula Health Services

  • General Acute Care Hospital
  • Burlingame, CA
  • NPI 1518937051
  NPD (past)
• Sutter Bay Hospitals

  dba Mills-Peninsula Medical Center

  • General Acute Care Hospital
  • Burlingame, CA
  • NPI 1043670334
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1295756674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SAINT MATTHEWS AVE STE A",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013088",
            "telephone_number": "650-242-1689",
            "fax_number": "650-477-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SAINT MATTHEWS AVE STE A",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013088",
            "telephone_number": "650-242-1689",
            "fax_number": "650-477-2162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 S San Mateo Dr",
            "address_2": "SUITE 470",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944013857",
            "country_code": "US",
            "telephone_number": "650-342-8502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHAMGOSAR",
        "first_name": "ALIREZA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Shelin Dela Cruz Geronimo
• Maria Theresa Geronimo, PT
• Emily Gershon, BA, BCBA
• Bryan D Gescuk, M.D.
• Lawrence Howard Gettler, MD
• Nuha Mahmoud Ghanem, B.A
• Laila Ghazanfarpour
• Umesh Hansraj Gheewala, M.D.
• Priyanka Ghosh, M.D.
• Elizabeth Giannini

• Foot & Ankle Surgery Podiatrist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.