Individual provider Active NPI

Amir H Ronaghi, M.D.

  • Diagnostic Radiology Physician
  • Laguna Beach, CA
National Provider Identifier
1548258239
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A55026 Issued in CA
Practice address
31872 Coast Hwy
Laguna Beach, CA 92651-6773
Phone
(949) 499-7195
NPI assigned
Oct 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A55026 CA Primary

Addresses

Primary practice location

31872 Coast Hwy
Laguna Beach, CA 92651-6773

Mailing address

Dept la 21650
Pasadena, CA 91185-1650
Phone (949) 263-8620

Other identifiers 3

IdentifierTypeStateIssuer
00A550260OtherCABLUE SHIELD
00A550260MedicaidCA
P000468483OtherCARAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://memorialcare.org/fhir/api/FHIR/R4/ Health Information Exchange (HIE) MemorialCare Medical Foundation

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
I20060911000497 CA Practitioner - Diagnostic Radiology 7517961246 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, San Diego School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorialcare Medical FoundationGroup PAC ID 8729277314, 555 clinicians

Practice addresses (Care Compare)

24302 Paseo de Valencia
Laguna Hills, CA 92653-3115
Phone (949) 452-8880

Hospital & facility affiliations

  • Memorialcare Orange Coast Medical Center Hospital, Fountain Valley, CA, CCN 050678
  • Memorialcare Saddleback Medical Center Hospital, Laguna Hills, CA, CCN 050603

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
81.15
Promoting interoperability
100
Improvement activities
40
Cost
71.64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
55026CAMDDental Assistant
A55026CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorialcare Medical Foundation CurrentSince Jul 1, 2024 Accepting new patients
South Coast Radiological Medical Group Inc Diagnostic Radiology CurrentSince Sep 1, 2006 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Jan 14, 2018 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Jan 14, 2018 Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Jan 14, 2018 Accepting new patients
UC Regents Diagnostic Radiology CurrentSince Jul 27, 2015 Accepting new patients
UC Regents Diagnostic Radiology CurrentSince Jul 27, 2015 Accepting new patients
UCLA Radiology Medical Group Diagnostic Radiology Past Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology PastSince Feb 4, 2018 Accepting new patients
Saddleback Magnetic Resonance Imaging Medical Group Past Accepting new patients

Locations

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707

17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592

9920 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 236-4000

31872 Coast Hwy
Laguna Beach, CA 92651
Phone (949) 499-1311

24451 Health Center Dr
Laguna Hills, CA 92653
Phone (949) 452-3573

24302 Paseo de Valencia
Laguna Hills, CA 92653
Phone (949) 452-8880

1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

72855 Fred Waring Dr
Palm Desert, CA 92260
Phone (760) 837-1420

2601 E Tahquitz Canyon Way
Palm Springs, CA 92262
Phone (760) 318-2980

Dept LA 21650
Pasadena, CA 91185

Dept LA 21591
Pasadena, CA 91185

57840 29 Palms Hwy
Yucca Valley, CA 92284
Phone (760) 228-1047

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: amir.ronaghimd.p105@direct.nautilus.nextgenshare.com

Organizations & group practices 10

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1548258239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT LA 21650",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911851650",
            "telephone_number": "949-263-8620",
            "fax_number": "949-263-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31872 COAST HWY",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516773",
            "telephone_number": "949-499-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONAGHI",
        "first_name": "AMIR",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A55026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A550260",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A550260",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD  MEDICARE",
            "identifier": "P000468483",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://memorialcare.org/fhir/api/FHIR/R4/",
            "affiliation": "Y",
            "endpointDescription": "MemorialCare FHIR Endpoint",
            "affiliationName": "MemorialCare Medical Foundation",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "https://memorialcare.org/fhir/api/FHIR/R4/",
            "address_1": "17360 Brookhurst St",
            "city": "Fountain Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927083720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laguna Beach, CA

Sources for this page

Verify at the official NPI Registry.