Individual provider Active NPI

Alireza Bozorgi, M.D.,

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Tustin, CA
National Provider Identifier
1508109018
Registry record updated Mar 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
License
A179347 Issued in CA
Practice address
515 E 1St St Ste B
Tustin, CA 92780-3335
Phone
(714) 819-0000
Fax
(714) 406-3630
NPI assigned
Apr 3, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X A179347 CA Primary
Epilepsy Physician 2084E0001X A179347 CA
Neurology Physician 2084N0400X A179347 CA

Addresses

Primary practice location

515 E 1St St Ste B
Tustin, CA 92780-3335

Mailing address

3972 Barranca Pkwy Ste J432
Irvine, CA 92606-1204
Phone (714) 819-0000

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
I20220719002933 CA Practitioner - NeurologyPractitioner - Interventional Pain Management 8224335351 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Interventional Pain Management
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minimally Invasive Medical GroupGroup PAC ID 9830439942, 6 clinicians

Practice addresses (Care Compare)

26921 Crown Valley Pkwy
Suite 120
Mission Viejo, CA 92691-6501
Phone (949) 333-2224

515 E 1St St
Suite B
Tustin, CA 92780-3335
Phone (714) 819-0000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A179347CAMDPain Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Current Accepting new patients
Alireza Bozorgi MD PC Epilepsy CurrentSince Jul 29, 2024 Accepting new patients
Oc Physical Therapy Corporation CurrentSince Jan 1, 2023 Accepting new patients
Minimally Invasive Medical Group CurrentSince Sep 1, 2022 Accepting new patients
Michael H. Lowenstein MD a Professional Medical Corporation Past Accepting new patients

Locations

18102 Sky Park Cir
Ste D
Irvine, CA 92614
Phone (949) 333-2224

29300 Portola Pkwy
Ste A
Lake Forest, CA 92630
Phone (949) 305-3913

26921 Crown Valley Pkwy
Ste 120
Mission Viejo, CA 92691
Phone (949) 333-2224

1901 E 4th St
Ste 250
Santa Ana, CA 92705
Phone (714) 850-2060

1901 E 4th St
Ste 210
Santa Ana, CA 92705
Phone (714) 542-5999

515 E 1st St
Ste B
Tustin, CA 92780
Phone (714) 450-2263

Interoperability endpoints

  • Direct secure messaging: abozorgi206773@direct.metrohealth.org

Organizations & group practices 6

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": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774656000000",
    "number": "1508109018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3972 BARRANCA PKWY STE J432",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061204",
            "telephone_number": "714-819-0000",
            "fax_number": "714-406-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E 1ST ST STE B",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803335",
            "telephone_number": "714-819-0000",
            "fax_number": "714-406-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZORGI",
        "first_name": "ALIREZA",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-03",
        "last_updated": "2026-03-28",
        "certification_date": "2026-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "CA",
            "license": "A179347",
            "primary": true
        },
        {
            "code": "2084E0001X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Epilepsy",
            "state": "CA",
            "license": "A179347",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A179347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.