Individual provider Active NPI

Ali Reza Motamedi, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Camarillo, CA
National Provider Identifier
1295801744
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
A68501 Issued in CA
Practice address
3901 Las Posas Rd Ste 4
Camarillo, CA 93010-1502
Phone
(805) 585-5166
Fax
(805) 383-1768
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A68501 CA Primary

Addresses

Primary practice location

3901 Las Posas Rd Ste 4
Camarillo, CA 93010-1502

Mailing address

1203 Flynn Rd Unit 160
Camarillo, CA 93012-6203
Phone (805) 804-4168

Other identifiers 2

IdentifierTypeStateIssuer
M6783OtherTXSTATE LICENSE
A68501OtherCASTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://venturaortho.com/

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
I20160914002469 CA Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 1759418536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Orthopedic Surgery
Education
Tulane University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ventura Orthopedics Medical Group IncGroup PAC ID 2062312911, 79 clinicians

Practice addresses (Care Compare)

3901 Las Posas Rd
Suite 4
Camarillo, CA 93010-1502
Phone (805) 585-5166

Hospital & facility affiliations

  • St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)13
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A68501CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ventura Orthopedics Medical Group, Inc. Orthopaedic Surgery CurrentSince Sep 6, 2016 Accepting new patients
Memorial Hermann Health System Past Accepting new patients
Oregon Health & Science University Past Accepting new patients
St Lukes Community Development Corporation - Sugar Land Past Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients

Locations

1203 Flynn Rd
Unit 160
Camarillo, CA 93012
Phone (805) 306-9700

3901 Las Posas Rd
Ste 4
Camarillo, CA 93010
Phone (805) 585-5166

2221 Wankel Way
Oxnard, CA 93030
Phone (805) 988-9366

137 E Thousand Oaks Blvd
Thousand Oaks, CA 91360
Phone (805) 379-4574

3525 Loma Vista Rd
Ste C
Ventura, CA 93003
Phone (805) 652-6955

5720 Ralston St
Ste 200
Ventura, CA 93003
Phone (805) 804-4168

3525 Loma Vista Rd
Ste A
Ventura, CA 93003
Phone (805) 641-6415

1145 Lindero Canyon Rd
Ste C1
Westlake Village, CA 91362
Phone (818) 865-9800

Interoperability endpoints

  • Direct secure messaging: ali.motamedi@vo1.eclinicaldirectplus.com
  • Direct secure messaging: amotamedi@direct.uspi.com

Organizations & group practices 6

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": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1295801744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 FLYNN RD UNIT 160",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930126203",
            "telephone_number": "805-804-4168",
            "fax_number": "805-830-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 LAS POSAS RD STE 4",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101502",
            "telephone_number": "805-585-5166",
            "fax_number": "805-383-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTAMEDI",
        "first_name": "ALI",
        "middle_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A68501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "M6783",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A68501",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://venturaortho.com/",
            "affiliation": "N",
            "address_1": "3901 Las Posas Rd Ste 4",
            "city": "Camarillo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930101502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

Verify at the official NPI Registry.