Individual provider Active NPI

Afsaneh Maghsoudy, M.D.

  • Diagnostic Radiology Physician
  • Carlsbad, CA
National Provider Identifier
1386742401
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A60622 Issued in CA
Practice address
6010 Hidden Valley Rd Ste 125
Carlsbad, CA 92011-4219
Phone
(760) 730-3536
Fax
(760) 720-4833
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A60622 CA Primary

Addresses

Primary practice location

6010 Hidden Valley Rd Ste 125
Carlsbad, CA 92011-4219

Mailing address

6010 Hidden Valley Rd Ste 125
Carlsbad, CA 92011-4219
Phone (760) 730-3536

Other identifiers 1

IdentifierTypeStateIssuer
00A606220MedicaidCA

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
I20050512000343 CA Practitioner - Diagnostic Radiology 1557343605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Southern California Keck School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Am and BB Imaging Center IncGroup PAC ID 0547209330, 2 clinicians

Practice addresses (Care Compare)

6010 Hidden Valley Rd
Suite 125
Carlsbad, CA 92011-4219
Phone (760) 730-3536

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A60622CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Am & BB Imaging Center Inc Diagnostic Radiology CurrentSince Sep 6, 2001 Accepting new patients
Scripps Clinic Medical Group Past Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology Past Accepting new patients
Am & BB Imaging Center Inc Diagnostic Radiology PastSince Apr 25, 2005 Accepting new patients

Locations

6010 Hidden Valley Rd
Ste 125
Carlsbad, CA 92011
Phone (760) 730-3536

2407 Marshall Ave
Ste A
Imperial, CA 92251
Phone (760) 545-0340

Organizations & group practices 4

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1386742401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 HIDDEN VALLEY RD STE 125",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920114219",
            "telephone_number": "760-730-3536",
            "fax_number": "760-720-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 HIDDEN VALLEY RD STE 125",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920114219",
            "telephone_number": "760-730-3536",
            "fax_number": "760-720-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGHSOUDY",
        "first_name": "AFSANEH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A60622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A606220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.