Individual provider Active NPI

Mehdi Foroogozar, HAD

  • Hearing Instrument Specialist
  • Casa Grande, AZ
National Provider Identifier
1366284283
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HADE14862 Issued in AZ
Practice address
1968 N Peart Rd Ste 20
Casa Grande, AZ 85122-2497
Phone
(480) 214-9000
Fax
(480) 214-9999
NPI assigned
Jun 11, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HADE14862 AZ Primary

Addresses

Primary practice location

1968 N Peart Rd Ste 20
Casa Grande, AZ 85122-2497

Mailing address

2051 W Chandler Blvd Ste 5
Chandler, AZ 85224-6239
Phone (480) 214-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HADE14862AZMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Enticare PC CurrentSince Jun 16, 2024 Accepting new patients

Locations

1968 N Peart Rd
Ste 20
Casa Grande, AZ 85122

2051 W Chandler Blvd
Ste 5
Chandler, AZ 85224
Phone (480) 672-2964

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1366284283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 W CHANDLER BLVD STE 5",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246239",
            "telephone_number": "480-214-9000",
            "fax_number": "480-214-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1968 N PEART RD STE 20",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851222497",
            "telephone_number": "480-214-9000",
            "fax_number": "480-214-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOROOGOZAR",
        "first_name": "MEHDI",
        "credential": "HAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "AZ",
            "license": "HADE14862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.