Alireza Nikbaksh Tehrani, D.O.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

20A10839 Issued in CA

Practice address

19341 Bear Valley Rd
Suite 205
Apple Valley, CA 92308-5151

Phone

(760) 240-2444

NPI assigned

Oct 22, 2008

Last updated

Nov 19, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Alireza Tehrani, D.O. Inc

  • Specialist
  • Apple Valley, CA
  • NPI 1033444229
  Authorized official Same address or phone

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1588816425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17868 US HIGHWAY 18",
            "address_2": "#357",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071267",
            "telephone_number": "760-927-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19341 BEAR VALLEY RD",
            "address_2": "SUITE 205",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923085151",
            "telephone_number": "760-240-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEHRANI",
        "first_name": "ALIREZA",
        "middle_name": "NIKBAKSH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-22",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "OS012696",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "20A10839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Anne Tate
• Bobbie J Taylor
• Charles L Taylor
• Imara Taylor
• Tamara Latrece Taylor
• Dennise Tejeda
• Alganesh T Tekele, PHARM. D
• Xiaofei Teng, DDS
• Megan Tennyson
• Purnima Thakran, M.D., PH.D.

• Plastic Surgery Physician in Apple Valley, CA
• Providers in Apple Valley, 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 Nov 19, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.