Alexa Gozali, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A17348 Issued in CA

Practice address

30131 Town Center Dr Ste 135
Laguna Niguel, CA 92677-2010

Phone

(949) 363-9595

NPI assigned

Jul 26, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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 Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology and Cosmetics Laser Care a Medical CorporationGroup PAC ID 5395659460, 10 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Advanced Dermatology & Cosmetics Laser Care a Medical Corporation

  • Specialist
  • Valencia, CA
  • NPI 1912026097

  Dermatology

  Medicare reassignment Care Compare group NPD
• Renu Health Inc

  • Family Medicine Physician
  • Long Beach, CA
  • NPI 1861261992
  Medicare reassignment NPD Authorized official
• Healthcare Partners Affiliates Medical Group

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1659312593

  Dermatology

  Medicare reassignment NPD
• Healthcare Partners Affiliates Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Murrieta, CA
  • NPI 1760057269
  NPD
• Hoag Memorial Hospital Presbyterian

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1518951300
  NPD (past)

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1407309594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30131 TOWN CENTER DR STE 135",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772010",
            "telephone_number": "949-363-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30131 TOWN CENTER DR STE 135",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772010",
            "telephone_number": "949-363-9595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1405 Piedmont",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926203804",
            "country_code": "US",
            "telephone_number": "949-293-9360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26800 Crown Valley Pkwy Ste 150",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926918018",
            "country_code": "US",
            "telephone_number": "949-276-2111",
            "fax_number": "949-276-2116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11500 Brookshire Ave",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "90241",
            "country_code": "US",
            "telephone_number": "562-904-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOZALI",
        "first_name": "ALEXA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A17348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agozali1415851@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "32341 Golden Lantern Ste D",
            "city": "Laguna Niguel",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926775343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alex Charles Goldenring, PT
• Mitra Golriz, LMFT
• Adrian Gomez, C.A.T.C. I
• Jody Goodrich
• Abigail Rose Gothard
• Grace Physical Therapy, Inc.
• Gracie Heart Home Health LLC
• Ashley Granados
• Jacqueline Gravell-O'Kane, LMFT
• Janice Renee Graves

• Family Medicine Physician in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.