Organization Active NPI

Georgina Health Inc

  • Vascular & Interventional Radiology Physician
  • Fort Myers, FL
National Provider Identifier
1356219596
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
GEORGINA HEALTH INC
Practice address
13710 Metropolis Ave Ste 103
Fort Myers, FL 33912-7144
Phone
(239) 523-0965
NPI assigned
Oct 28, 2025
Last updated
Sep 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Dr. Ali Golshan, MDNPI 1114183993
Title
Owner
Phone
(310) 974-8767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X NU Primary

Addresses

Primary practice location

13710 Metropolis Ave Ste 103
Fort Myers, FL 33912-7144

Mailing address

9450 SW Gemini Dr
PMB 891361
Beaverton, OR 97008-7105
Phone (310) 974-8767

Other practice location 1

643 W East Ave Ste 2
Chico, CA 95926-7201
Phone (310) 974-8767

Other practice location 2

730 Goodlette-Frank Rd N Ste 203
Naples, FL 34102-5618
Phone (239) 523-0965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20260305001351 FL Part B Supplier - Clinic/Group Practice 7012499379 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Myers, FL; Naples, FL
O20260323002532 CA Part B Supplier - Clinic/Group Practice 7012499379 Receives reassigned benefits from 2 practitioners
Practice locations: Chico, CA

National Provider Directory

National Provider Directory

Locations

643 W East Ave
Ste 2
Chico, CA 95926
Phone (310) 974-8767

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1356219596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9450 SW GEMINI DR",
            "address_2": "PMB 891361",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087105",
            "telephone_number": "310-974-8767",
            "fax_number": "310-496-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13710 METROPOLIS AVE STE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127144",
            "telephone_number": "239-523-0965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "643 W East Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959267201",
            "country_code": "US",
            "telephone_number": "310-974-8767",
            "fax_number": "310-496-2722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 Goodlette-Frank Rd N Ste 203",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341025618",
            "country_code": "US",
            "telephone_number": "239-523-0965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GEORGINA HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-28",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "GOLSHAN",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-974-8767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.