Individual provider Active NPI

Alireza Khazaeizadeh, MD

  • Internal Medicine Physician
  • Anaheim, CA
National Provider Identifier
1346411477
Registry record updated Aug 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A100885 Issued in CA
Practice address
601 S Beach Blvd
Anaheim, CA 92804-3102
Phone
(949) 600-7733
Fax
(949) 600-8822
NPI assigned
Mar 17, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A100885 CA Primary

Addresses

Primary practice location

601 S Beach Blvd
Anaheim, CA 92804-3102

Mailing address

24001 Calle de la Magdalena # 2413
Laguna Hills, CA 92654-9998
Phone (949) 600-7733

Other practice location 1

366 San Miguel Dr Ste 210
Newport Beach, CA 92660-7810
Phone (949) 600-7733

Other practice location 2

24301 Paseo De Valencia Ste 104
Laguna Woods, CA 92637-3111
Phone (949) 600-7733

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
I20081213000054 CA Practitioner - Internal Medicine 3779644455 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Urgent Care Associates IncGroup PAC ID 2769917913, 2 clinicians

Practice addresses (Care Compare)

2507 Eastbluff Dr
Newport Beach, CA 92660-3504
Phone (949) 200-1655

601 S Beach Blvd
Anaheim, CA 92804-3102
Phone (949) 280-8512

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2093GAMDRegistered Dietitian
A100885CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bahar Medical Group Inc Specialist CurrentSince May 26, 2010 Accepting new patients
Vital Urgent Care, Inc Internal Medicine CurrentSince Sep 30, 2014 Accepting new patients
Aria Urgent Care Associates, Inc CurrentSince Oct 14, 2024 Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients

Locations

27068 La Paz Rd
Aliso Viejo, CA 92656
Phone (949) 212-8581

601 S Beach Blvd
Ste B
Anaheim, CA 92804

601 S Beach Blvd
Anaheim, CA 92804
Phone (714) 220-9009

24001 Calle de la Magdalena
Unit 2413
Laguna Hills, CA 92654

24301 Paseo de Valencia
Ste 104
Laguna Woods, CA 92637
Phone (949) 600-7733

366 San Miguel Dr
Ste 210
Newport Beach, CA 92660
Phone (949) 630-0008

2507 Eastbluff Dr
Newport Beach, CA 92660
Phone (949) 200-1655

2507 Eastbluff Dr
Ste C
Newport Beach, CA 92660
Phone (888) 544-9262

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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 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": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786752000000",
    "number": "1346411477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24001 CALLE DE LA MAGDALENA # 2413",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926549998",
            "telephone_number": "949-600-7733",
            "fax_number": "949-600-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S BEACH BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043102",
            "telephone_number": "949-600-7733",
            "fax_number": "949-600-8822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "366 San Miguel Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926607810",
            "country_code": "US",
            "telephone_number": "949-600-7733",
            "fax_number": "949-600-8822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24301 Paseo De Valencia Ste 104",
            "address_purpose": "LOCATION",
            "city": "Laguna Woods",
            "state": "CA",
            "postal_code": "926373111",
            "country_code": "US",
            "telephone_number": "949-600-7733",
            "fax_number": "949-600-8822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAZAEIZADEH",
        "first_name": "ALIREZA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-17",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A100885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.