Pooya Alexander Ataii, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A87933 Issued in CA

Practice address

9200 Scranton Rd Ste 102
San Diego, CA 92121-7715

Phone

(858) 481-7701

Fax

(858) 481-7741

NPI assigned

May 20, 2008

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pooya a. Ataii, MD Inc.

  • Urgent Care Clinic/Center
  • San Diego, CA
  • NPI 1508023268
  Authorized official Same address or phone

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1568629210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 SCRANTON RD STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921217715",
            "telephone_number": "858-481-7701",
            "fax_number": "858-481-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 SCRANTON RD STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921217715",
            "telephone_number": "858-481-7701",
            "fax_number": "858-481-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATAII",
        "first_name": "POOYA",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A87933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "33-111-4283",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Plastic Surgery Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.