Individual provider Active NPI

Ali Hakim Mesiwala, MD

  • Neurological Surgery Physician
  • Newport Beach, CA
National Provider Identifier
1306814868
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A87133 Issued in CA
Practice address
3501 Jamboree Rd Ste 1250
Newport Beach, CA 92660-2959
Phone
(949) 988-7846
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD00042260 WA
Neurological Surgery Physician 207T00000X A87133 CA Primary

Addresses

Primary practice location

3501 Jamboree Rd Ste 1250
Newport Beach, CA 92660-2959

Mailing address

3501 Jamboree Rd Ste 1250
Newport Beach, CA 92660-2959
Phone (310) 497-3975

Other practice location 1

9170 Haven Ave Ste 108
Rancho Cucamonga, CA 91730-5416
Phone (909) 948-9754

Other practice location 2

4551 Glencoe Ave Ste 145
Marina Del Rey, CA 90292-6385
Phone (949) 988-7846

Other practice location 3

20531 Crescent Bay Dr
Lake Forest, CA 92630-8825
Phone (310) 497-3975

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
I20040913001333 CA Practitioner - NeurosurgeryPractitioner - Other (Physician) 7113994773 Practice locations: Newport Beach, CA; Rancho Cucamonga, CA; Pomona, CA

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of California, San Francisco School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

160 E Artesia St
Suite 220
Pomona, CA 91767-2921
Phone (909) 865-1020

3501 Jamboree Rd
Suite 1250
Newport Beach, CA 92660-2959
Phone (909) 881-6713

9170 Haven Ave
Suite 108
Rancho Cucamonga, CA 91730-5416
Phone (909) 881-6713

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion181
Laminectomy or laminotomy (partial removal of spine bones)59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
87133CAMDPharmacist
A87133CAMDNeurological Surgery Physician
MD00042260WAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ali H. Mesiwala, M.D., a Medical Corporation Neurological Surgery Current Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
San Dimas Community Hospital, Inc. Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients
Chapman Medical Center Inc Past Accepting new patients
Trias Global, LLC Past Accepting new patients
Pinnacle Medical Group, Inc. Past Accepting new patients
Primecare Medical Group Past Accepting new patients

Locations

3501 Jamboree Rd
Ste 1250
Newport Beach, CA 92660
Phone (949) 216-5277

3501 Jamboree Rd
Ste 1200
Newport Beach, CA 92660
Phone (949) 988-7800

9120 Haven Ave
Ste 201
Rch Cucamonga, CA 91730
Phone (909) 881-6713

9170 Haven Ave
Ste 108
Rch Cucamonga, CA 91730
Phone (909) 881-6713

12264 El Camino Real
Ste 101
San Diego, CA 92130
Phone (848) 847-0800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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 7

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1306814868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 JAMBOREE RD STE 1250",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602959",
            "telephone_number": "310-497-3975",
            "fax_number": "909-883-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 JAMBOREE RD STE 1250",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602959",
            "telephone_number": "949-988-7846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9170 Haven Ave Ste 108",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917305416",
            "country_code": "US",
            "telephone_number": "909-948-9754",
            "fax_number": "909-948-8960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4551 Glencoe Ave Ste 145",
            "address_purpose": "LOCATION",
            "city": "Marina Del Rey",
            "state": "CA",
            "postal_code": "902926385",
            "country_code": "US",
            "telephone_number": "949-988-7846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20531 Crescent Bay Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "CA",
            "postal_code": "926308825",
            "country_code": "US",
            "telephone_number": "310-497-3975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MESIWALA",
        "first_name": "ALI",
        "middle_name": "HAKIM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WA",
            "license": "MD00042260",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A87133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.