Ali Shooshtari Alavi, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A163793 Issued in CA

Practice address

5078 Manor Ridge LN
San Diego, CA 92130-2896

Phone

(949) 562-4039

Fax

(949) 239-7799

NPI assigned

Dec 8, 2017

Last updated

Aug 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Psychiatry

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sharp Chula Vista Medical Center Hospital, Chula Vista, CA, CCN 050222

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Alpa Medical Group

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1528886967

  Single Specialty

  Medicare reassignment NPD Authorized official
• Family Health Centers of San Diego, Inc

  dba Logan Heights Family Health Center

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1447281936

  Single Specialty

  Medicare reassignment NPD
• Family Health Centers of San Diego, Inc

  dba Sherman Heights Family Health Center

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1174549232
  NPD
• Family Health Centers of San Diego, Inc

  dba Escondido Physical Health and Wellness

  • Federally Qualified Health Center (FQHC)
  • Escondido, CA
  • NPI 1356178180
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sharp Chula Vista Medical Center

  • General Acute Care Hospital
  • Chula Vista, CA
  • NPI 1396728630
  Care Compare affiliation

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1356856694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5078 MANOR RIDGE LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302896",
            "telephone_number": "949-562-4039",
            "fax_number": "949-239-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5078 MANOR RIDGE LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302896",
            "telephone_number": "949-562-4039",
            "fax_number": "949-239-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAVI",
        "first_name": "ALI",
        "middle_name": "SHOOSHTARI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-08",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A163793",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A163793",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Pietila Alatorre, BCBA
• Jonathan Alatorre, CCAPP
• Maura Irene Alatorre, ASW
• Nathan Alatorre
• Yazming Alatorre
• Freydoun Alavi, M.D.
• Nushin Alavi
• Sassan Alavi, M.D.
• Dalea Alawar
• Amethyst Amy Alayari, MD

• Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.