NPIMap

Individual provider Active NPI

Mir Basharat Ali, M.D.

  • Cardiovascular Disease Physician
  • Montebello, CA
National Provider Identifier
1295759694
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A43033 Issued in CA
Practice address
101 E Beverly Blvd Ste 408
Montebello, CA 90640-4317
Phone
(237) 269-6063
Fax
(323) 726-9609
NPI assigned
Jul 27, 2006
Last updated
Oct 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A43033 CA Primary

Addresses

Primary practice location

101 E Beverly Blvd Ste 408
Montebello, CA 90640-4317

Mailing address

101 E Beverly Blvd Ste 408
Montebello, CA 90640-4317
Phone (323) 726-9606

Other identifiers 1

IdentifierTypeStateIssuer
1295759694OtherBLUE CROSS BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Email Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040723000743 CA Practitioner - Cardiovascular Disease (Cardiology) 7416937933 Reassigns benefits to 4 organizations
I20130514000365 AZ Practitioner - Cardiovascular Disease (Cardiology) 7416937933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Artemis Medical Center IncGroup PAC ID 0547643967, 2 clinicians

Practice addresses (Care Compare)

101 E Beverly Blvd
Suite 408
Montebello, CA 90640-4317

128 S Montebello Blvd
Montebello, CA 90640-4730
Phone (323) 726-9606

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal53
Leg revascularization (restoring blood flow)312
Removal of tissue17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A43033CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Nuclear, Inc. CurrentSince Nov 29, 2022 Accepting new patients
Cobre Valley Heart Institute PLLC Interventional Cardiology CurrentSince Apr 1, 2013 Accepting new patients
Artemis Medical Center Inc CurrentSince Mar 1, 2022 Accepting new patients
Advanced Cardiology Medical Associates, Inc Cardiovascular Disease CurrentSince Jun 23, 2022 Accepting new patients
Goldfield Medical Clinics, LLC Cardiovascular Disease CurrentSince Apr 1, 2013 Accepting new patients
Chapman Medical Center Inc Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Cobre Valley Regional Medical Center Past Accepting new patients

Locations

2005 Highway 60
Globe, AZ 85501
Phone (928) 425-5651

127 E Main St
Ste A
Payson, AZ 85541
Phone (928) 238-1388

2601 16th St
Bakersfield, CA 93301
Phone (661) 458-9643

101 E Beverly Blvd
Ste 408
Montebello, CA 90640
Phone (323) 722-2260

128 S Montebello Blvd
Montebello, CA 90640
Phone (323) 726-0577

1552 N Crestmont Dr
Ste B
Meridian, ID 83642

Organizations & group practices 11

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.

Hospital & facility affiliations 6

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1295759694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E BEVERLY BLVD STE 408",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404317",
            "telephone_number": "323-726-9606",
            "fax_number": "323-727-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BEVERLY BLVD STE 408",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404317",
            "telephone_number": "237-269-6063",
            "fax_number": "323-726-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "MIR",
        "middle_name": "BASHARAT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A43033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1295759694",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Email",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Office",
            "address_1": "101 E Beverly Blvd Ste 408",
            "city": "Montebello",
            "state": "CA",
            "country_code": "US",
            "postal_code": "906404317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

Verify at the official NPI Registry.