Individual provider Active NPI

Hamid R. Mir, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Tustin, CA
National Provider Identifier
1619063799
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
A84242 Issued in CA
Practice address
17631 17TH St Unit 200
Tustin, CA 92780-7943
Phone
(949) 749-0055
Fax
(949) 226-7210
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X A84242 CA Primary
Orthopaedic Surgery Physician 207X00000X A84242 CA

Addresses

Primary practice location

17631 17TH St Unit 200
Tustin, CA 92780-7943

Mailing address

220 Newport Center Dr # 11-282
Newport Beach, CA 92660-7506
Phone (949) 749-0055

Other practice location 1

6180 Brockton Ave Ste 103
Riverside, CA 92506-2259
Phone (949) 749-0055

Other practice location 2

3816 Woodruff Ave Ste 410
Long Beach, CA 90808-2146
Phone (949) 749-0055

Other names 1

  • Hamid R. Miraliakbar Former name

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
I20040616001611 CA Practitioner - Orthopedic SurgeryPractitioner - Other (Physician) 7810971744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
State University of Ny Upstate Medical University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hamid Mir MD IncGroup PAC ID 4486620416, 2 clinicians

Practice addresses (Care Compare)

17631 17TH St
Unit 200
Tustin, CA 92780-1985

17631 17TH St
Unit 200
Tustin, CA 92780-7943
Phone (949) 749-0055

17631 17TH St Unit
Suite 200
Tustin, CA 92780-7943

3421 Arlington Ave
Suite 105
Riverside, CA 92506-3201
Phone (949) 749-0055

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion20
Laminectomy or laminotomy (partial removal of spine bones)11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A84242CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hooman M. Javanmardi, Physical Therapist, a Professional Corporation PastSince Mar 5, 2018 Accepting new patients
Valley Healthcare Med GRP Orthopaedic Surgery Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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 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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1619063799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 NEWPORT CENTER DR # 11-282",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607506",
            "telephone_number": "949-749-0055",
            "fax_number": "949-226-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17631 17TH ST UNIT 200",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807943",
            "telephone_number": "949-749-0055",
            "fax_number": "949-226-7210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6180 Brockton Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925062259",
            "country_code": "US",
            "telephone_number": "949-749-0055",
            "fax_number": "949-226-7210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3816 Woodruff Ave Ste 410",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908082146",
            "country_code": "US",
            "telephone_number": "949-749-0055",
            "fax_number": "949-226-7210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIR",
        "first_name": "HAMID",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "A84242",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A84242",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAMID",
            "last_name": "MIRALIAKBAR",
            "middle_name": "R.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.