Organization Active NPI

Ali Medical Management Corporation

  • Exclusive Provider Organization
  • Costa Mesa, CA
National Provider Identifier
1366675670
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
ALI MEDICAL MANAGEMENT CORPORATION
Practice address
3140 Red Hill Ave Ste 180
Costa Mesa, CA 92626-3440
Phone
(714) 544-1605
NPI assigned
Sep 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Authorized official

Name
Mr. Ali Mirrafati
Title
President
Phone
(714) 544-1605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

3140 Red Hill Ave Ste 180
Costa Mesa, CA 92626-3440

Mailing address

3140 Red Hill Ave Ste 200
Costa Mesa, CA 92626-3400
Phone (714) 544-1605

Other names 1

  • Elite Surgery Center Doing business as

National Provider Directory

National Provider Directory

Locations

3140 Red Hill Ave
Ste 200
Costa Mesa, CA 92626

3140 Red Hill Ave
Ste 180
Costa Mesa, CA 92626
Phone (714) 544-1605

NPI Registry JSON

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1366675670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 RED HILL AVE STE 200",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263400",
            "telephone_number": "714-544-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 RED HILL AVE STE 180",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263440",
            "telephone_number": "714-544-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI MEDICAL MANAGEMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "MIRRAFATI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-544-1605",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.