Individual provider Active NPI

Ali Reza Lashgari, M.D.

  • Specialist
  • Encinitas, CA
National Provider Identifier
1528033925
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G78121 Issued in CA
Practice address
477 N El Camino Real
Suite a-300
Encinitas, CA 92024-1328
Phone
(760) 436-8700
Fax
(760) 436-8937
NPI assigned
Feb 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G78121 CA Primary

Addresses

Primary practice location

477 N El Camino Real
Suite a-300
Encinitas, CA 92024-1328

Mailing address

477 N El Camino Real
Suite a-300
Encinitas, CA 92024-1328
Phone (760) 436-8700

Other practice location 1

105 E Sydnor Ave Ste 100
Ridgecrest, CA 93555-5546
Phone (760) 446-6404

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alilashgari@rrh.medalliesdirect.net Direct

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
I20061221000238 CA Practitioner - Dermatology 8224036652 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, San Diego School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ridgecrest Regional HospitalGroup PAC ID 9739099896, 94 clinicians

Practice addresses (Care Compare)

105 E Sydnor Ave
Suite 100
Ridgecrest, CA 93555-5546
Phone (760) 446-6404

1111 N China Lake Blvd
Ridgecrest, CA 93555-3131
Phone (760) 499-3855

Hospital & facility affiliations

  • Ridgecrest Regional Hospital Hospital, Ridgecrest, CA, CCN 051333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G78121CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Howard Milstein M D a Medical Corp Specialist CurrentSince Jul 6, 2021 Accepting new patients
Susan Goodlerner MD Inc PastSince Aug 3, 2012 Accepting new patients
Scripps Health Past Accepting new patients
Regents of the University of California Past Accepting new patients
Carlsbad and Vista Dermatology, Inc. PastSince Jul 1, 2017 Accepting new patients
Scripps Health Past Accepting new patients

Locations

7334 Girard Ave
Ste 201
La Jolla, CA 92037
Phone (619) 454-8811

Interoperability endpoints

  • Direct secure messaging: alilashgari@rrh.medalliesdirect.net
  • Direct secure messaging: alashgari81237@scrippshlth.medalliesdirect.net

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1528033925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 N EL CAMINO REAL",
            "address_2": "SUITE A-300",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241328",
            "telephone_number": "760-436-8700",
            "fax_number": "760-436-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 N EL CAMINO REAL",
            "address_2": "SUITE A-300",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241328",
            "telephone_number": "760-436-8700",
            "fax_number": "760-436-8937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 E Sydnor Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Ridgecrest",
            "state": "CA",
            "postal_code": "935555546",
            "country_code": "US",
            "telephone_number": "760-446-6404",
            "fax_number": "760-446-6415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASHGARI",
        "first_name": "ALI",
        "middle_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G78121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alilashgari@rrh.medalliesdirect.net",
            "affiliation": "N",
            "endpointDescription": "RRH Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "105 E Sydnor Ave Ste 100",
            "city": "Ridgecrest",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935555546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.