Alex A Mirabadi, M.D.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

A130405 Issued in CA

Practice address

299 Stockton Ave
San Jose, CA 95126-2763

Phone

(408) 535-4600

Fax

(408) 291-5952

NPI assigned

May 6, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Alireza Agharokh Mirabadi Former name

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

Family PracticeAlso: Geriatric Medicine

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prohealth Home Care, Inc Home health agency, San Jose, CA, CCN 058415
• Sequoia Home Health Home health agency, Milpitas, CA, CCN 058496
• Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: amirabadi323745@direct.ochin.org
• Direct secure messaging: alex.mirabadi@686644257947652.direct.elationemr.com

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.

• Telefamilydoc

  • Geriatric Medicine (Family Medicine) Physician
  • Los Gatos, CA
  • NPI 1699559781
  Medicare reassignment NPD Authorized official
• El Camino Health Medical Network, LLC

  • Multi-Specialty Clinic/Center
  • San Jose, CA
  • NPI 1164880761
  NPD (past)
• Umass Memorial Medical Center, Inc.

  • General Acute Care Hospital
  • Worcester, MA
  • NPI 1831151455
  NPD (past)
• Vascular Specialists, P.a.

  • Vascular Surgery Physician
  • Newark, DE
  • NPI 1366716060
  NPD (past)

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

• Good Samaritan Hospital, L.P.

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1437103777
  Care Compare affiliation
• Prohealth Home Care, Inc.

  • Home Health Agency
  • San Jose, CA
  • NPI 1255531570
  Care Compare affiliation
• South Bay Healthcare, Inc.

  • Home Health Agency
  • Milpitas, CA
  • NPI 1679951859
  Care Compare affiliation

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1396037545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4261 DELACROIX CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951351722",
            "telephone_number": "302-668-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 STOCKTON AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262763",
            "telephone_number": "408-535-4600",
            "fax_number": "408-291-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRABADI",
        "first_name": "ALEX",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-06",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A130405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALIREZA",
            "last_name": "AGHAROKH MIRABADI",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Hafiz M. Miraly, MD
• Christina Marie Miramon-Gomez
• Nathan Andre Miramon

• Geriatric Medicine (Family Medicine) Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Geriatric Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.