NPIMap

Individual provider Active NPI

Ali H Reza, MD

  • Cardiovascular Disease Physician
  • Turlock, CA
National Provider Identifier
1598723538
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A50089 Issued in CA
Practice address
2141 Colorado Ave
Turlock, CA 95382-2011
Phone
(209) 634-2600
Fax
(209) 575-4598
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 09458R LA
Cardiovascular Disease Physician 207RC0000X A50089 CA Primary

Addresses

Primary practice location

2141 Colorado Ave
Turlock, CA 95382-2011

Mailing address

PO Box 4398
Modesto, CA 95352-4398
Phone (209) 575-4575

Other identifiers 1

IdentifierTypeStateIssuer
1973254MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121011000748 CA Practitioner - Cardiovascular Disease (Cardiology) 4385727171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Physician PartnersGroup PAC ID 0941465322, 130 clinicians

Practice addresses (Care Compare)

1541 Florida Ave
Modesto, CA 95350-4429
Phone (209) 577-3388

1541 Florida Ave
Modesto, CA 95350-4438

1801 Colorado Ave
Suite 250
Turlock, CA 95382-2710
Phone (209) 647-3950

825 Delbon Ave
Turlock, CA 95382-2016
Phone (209) 667-4200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.19 of 100Reported as individual
Quality
80.89
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting43
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50089CAMDGeneral Practice Dentistry
A50089CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners CurrentSince Oct 1, 2019 Accepting new patients
First Choice Physician Partners Current Accepting new patients
First Choice Physician Partners CurrentSince Oct 1, 2019 Accepting new patients
Slidell Memorial Hospital Past Accepting new patients
West Jefferson Holdings, LLC Past Accepting new patients
Vascular Access Center of New Orleans, LLC PastSince Sep 1, 2012 Accepting new patients
Emanuel Medical Center, Inc. Past Accepting new patients
Reza Vafadouste MD a Medical Corporation Cardiovascular Disease Past Accepting new patients
Northshore Regional Medical Center Dba the Surgery Suite Past Accepting new patients
Dignity Health Past Accepting new patients
Ochsner Clinic Foundation Past Accepting new patients
Vascular Access Center of Southwest Louisiana LLC Past Accepting new patients
First Choice Physician Partners Cardiovascular Disease Past Accepting new patients
St Tammany Heart & Vascular Institute Cardiovascular Disease Past Accepting new patients
Lester E Cox Medical Centers Past Accepting new patients
Heart Clinic of Hammond Cardiovascular Disease Past Accepting new patients

Locations

1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839

1541 Florida Ave
Modesto, CA 95350

1801 Colorado Ave
Ste 250
Turlock, CA 95382
Phone (209) 216-3500

2141 Colorado Ave
Turlock, CA 95382
Phone (209) 634-2600

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3142/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ali.reza.1@14035.direct.athenahealth.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 4

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1598723538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4398",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953524398",
            "telephone_number": "209-575-4575",
            "fax_number": "209-575-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 COLORADO AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822011",
            "telephone_number": "209-634-2600",
            "fax_number": "209-575-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZA",
        "first_name": "ALI",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "09458R",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A50089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1973254",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.