Organization Active NPI

Ali Ghazanfari MD PLLC

  • Surgery Physician
  • Gilbert, AZ
National Provider Identifier
1619147469
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ALI GHAZANFARI MD PLLC
Practice address
726 N Greenfield Rd
Suite 105
Gilbert, AZ 85234-5061
Phone
(480) 926-3353
Fax
(480) 926-3362
NPI assigned
Mar 7, 2008
Last updated
Jan 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Authorized official

Name
Ali Ghazanfari, MDNPI 1528261732
Title
President
Phone
(480) 926-3353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

726 N Greenfield Rd
Suite 105
Gilbert, AZ 85234-5061

Mailing address

726 N Greenfield Rd
Suite 105
Gilbert, AZ 85234-5061
Phone (480) 926-3353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080605000504 AZ Part B Supplier - Clinic/Group Practice 5698845485 Receives reassigned benefits from 1 practitioner
Practice locations: Mesa, AZ; Scottsdale, AZ; Gilbert, AZ; Chandler, AZ

National Provider Directory

National Provider Directory

Locations

6116 E Arbor Ave
Ste B106
Mesa, AZ 85206
Phone (480) 926-3353

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1619147469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 N GREENFIELD RD",
            "address_2": "SUITE 105",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852345061",
            "telephone_number": "480-926-3353",
            "fax_number": "480-926-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 N GREENFIELD RD",
            "address_2": "SUITE 105",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852345061",
            "telephone_number": "480-926-3353",
            "fax_number": "480-926-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI GHAZANFARI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "GHAZANFARI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-926-3353",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.