Active NPI
Ali Sepehr, M.D.
- Facial Plastic Surgery Physician
- Newport Beach, CA
National Provider Identifier
1386833069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- A93414
- Practice address
- 360 San Miguel Dr Ste 409
Newport Beach, CA 92660-7822 - Phone
- (949) 371-6963
- Fax
- (949) 313-7757
- NPI assigned
- Oct 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | A93414 | CA | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | A93414 | CA | |
| Plastic Surgery Physician | 208200000X | A93414 | CA | |
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | A93414 | CA | |
| Facial Plastic Surgery Physician | 207YS0123X | A93414 | CA | Primary |
Addresses
Primary practice location
360 San Miguel Dr Ste 409
Newport Beach, CA 92660-7822
Mailing address
360 San Miguel Dr Ste 409
Newport Beach, CA 92660-7822
Phone (949) 371-6963
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of California, Geffen School of Medicine, 2004
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
360 San Miguel Dr
Suite 409
Newport Beach, CA 92660-7822
Phone (949) 371-6963
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A93414 | CA | MD | Otolaryngology/Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sepehr MD Apc | Otolaryngology | Current | Accepting new patients |
| Hoag Memorial Hospital Presbyterian | Past | Accepting new patients |
Locations
16300 Sand Canyon Ave
Ste 201
Irvine, CA 92618
Phone (949) 727-1818
360 San Miguel Dr
Ste 409
Newport Beach, CA 92660
Phone (833) 880-7433
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1386833069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 SAN MIGUEL DR STE 409",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926607822",
"telephone_number": "949-371-6963",
"fax_number": "949-313-7757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 SAN MIGUEL DR STE 409",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926607822",
"telephone_number": "949-371-6963",
"fax_number": "949-313-7757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEPEHR",
"first_name": "ALI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-18",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "A93414",
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "CA",
"license": "A93414",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A93414",
"primary": false
},
{
"code": "2082S0099X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
"state": "CA",
"license": "A93414",
"primary": false
},
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "CA",
"license": "A93414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.